| NPI | 1114436854 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-09-26 |
| Last Updated | 2022-01-16 |
| Mailing Address | 3400 Wible Rd Bakersfield, CA 93309-6507 United States Phone: (661) 835-8672 📍 View Map |
| Primary Practice Address | 3403 Wilson Rd Bakersfield, CA 93309-5208 United States Phone: (661) 741-0310 | Fax: (661) 349-9980 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | CA | 102012 |
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About NPI 1114436854
Ivan Alejandro Medina-Martinez DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114436854. The primary specialty listed is Dentist. The provider is located in Bakersfield, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-09-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114436854?
NPI 1114436854 belongs to Ivan Alejandro Medina-Martinez DDS, a Dentist in Bakersfield, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114436854 active?
The current status of NPI 1114436854 in the NPPES registry is Active. The record was last updated on 2022-01-16.
What specialty is NPI 1114436854?
NPI 1114436854 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114436854?
You can verify NPI 1114436854 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114436854?
The primary practice address on file for NPI 1114436854 is 3403 Wilson Rd, Bakersfield, CA 93309-5208. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114436854 issued?
NPI 1114436854 was first issued (enumerated) on 2017-09-26. The NPPES record was last updated on 2022-01-16.
Practice Location Map
Ivan Alejandro Medina-Martinez is located at 3403 Wilson Rd, Bakersfield, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ivan Alejandro Medina-Martinez. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114436854. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 102012 | CA |