DR. KAREN M MARTINEZ DMD
NPI 1336294032
Dentist in Coral Gables, FL

Q: What is Karen Martinez's NPI number?

The NPI number for Karen Martinez is 1336294032. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Karen Martinez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Martinez was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2007PECOS Enrolled

401 CORAL WAY STE 410, CORAL GABLES, FL 33134(305) 446-5676 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2025, Feb 3, 2025, Oct 7, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Dr. Karen M Martinez Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAREN M MARTINEZ DMD (NPI 1336294032) is an individual dentist in Coral Gables, Florida, licensed in Puerto Rico (2530) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336294032

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KAREN M MARTINEZCredential: DMD

Location Address401 CORAL WAY STE 410Coral Gables, FL 33134-4926

Mailing Address401 Coral Way Ste 410Coral Gables, FL 33134-4926 · (305) 446-5676

Phone(305) 446-5676

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1336294032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PR · 2530

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

401 CORAL WAY STE 410, Coral Gables, FL 33134

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen M Martinez Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Karen Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sleep Well Miami Inc

Same address

General Practice

401 CORAL WAY STE 410
Coral Gables, FL 33134

Reassigned Medicare billing, Florida enrollment

NPI 1578321592 (415) 987-7872

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN MARTINEZ DMD PA

Dentist

401 CORAL WAY STE 410
CORAL GABLES, FL 33134

Miami-Dade County (305) 446-5676

SLEEP WELL MIAMI INC

Dentist (General Practice)

401 CORAL WAY STE 410
CORAL GABLES, FL 33134

Miami-Dade County (415) 987-7872

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Martinez's NPI number?

The NPI number for Karen Martinez is 1336294032. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Karen Martinez located?

Karen Martinez practices at 401 Coral Way Ste 410, Coral Gables, FL 33134. The listed phone number is (305) 446-5676.

What is Karen Martinez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Karen Martinez enrolled in Medicare?

Yes. Karen Martinez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Martinez reassigns Medicare benefits to Sleep Well Miami Inc (Coral Gables, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Martinez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Karen Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Martinez was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.