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David Martinez

Physician β€’ Santo Domingo, NM

Deactivated NPI 1508061193 Deactivated in NPPES Male Practitioner
Practice location in NPPES

85 West Highway 22
Santo Domingo, NM 87052

Phone: 5054653060

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 21, 2021; the reason is not published. The records below are historical. They do not show whether David Martinez currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 15, 2007
NPI Deactivation Date January 21, 2021
NPI Active Period 2007 – 2021

Practice Location & Contact Primary Location

Practice Address

85 West Highway 22

Santo Domingo, NM 87052

Telephone 5054653060
Fax 5054651155
Organization at the Same NPPES Address or Phone
Kewa Pueblo Health Corporation Facility NPI 1003193251

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Santo Domingo and New Mexico

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1366523722

Doctor of Medicine (M.D.)

NPI 1194141515

Doctor of Pharmacy (Pharm.D.)

NPI 1790149607

Doctor of Medicine (M.D.)

NPI 1124689336

Doctor of Optometry

Andrea Heeter , PA-C, ATC

Physician Assistant

NPI 1467509612

Physician Assistant (Certified), Certified Athletic Trainer

Dr. James Lutz , MD

Family Medicine

NPI 1194714741

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated January 21, 2021

NPPES lists this NPI as deactivated as of January 21, 2021; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 85 WEST HIGHWAY 22, SANTO DOMINGO, NM 87052 (Tel: 5054653060)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 372, SANTO DOMINGO PUEBLO, NM 870520372 (Tel: 5054653060)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DAVID MARTINEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Acute Care Hospital

🟒
Initial NPI Registration & Enumeration June 15, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508061193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2007
Last Update: July 08, 2007
Deactivation Date: January 21, 2021

Mailing Address

Po Box 372

Santo Domingo Pueblo, NM 870520372

Phone: 5054653060

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.