LETICIA MARTINEZ D.D.S.
NPI 1720126683
Dentist - General Practice in Chicago, IL
About Leticia Martinez D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LETICIA MARTINEZ D.D.S. (NPI 1720126683) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019-027035) and active in the NPI registry since February 2007. She has opted out of Medicare through April 14, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Leticia Martinez D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 14, 2016 through April 14, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Leticia Martinez's NPI number?
The NPI number for Leticia Martinez is 1720126683. It was assigned to this individual provider in the NPPES registry on February 2, 2007.
Where is Leticia Martinez located?
Leticia Martinez practices at 3915 W 26th St, Chicago, IL 60623. The listed phone number is (773) 522-2929.
What is Leticia Martinez's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Leticia Martinez enrolled in Medicare?
No. Leticia Martinez has opted out of Medicare through April 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Leticia Martinez was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Leticia Martinez, D.D.S. · NPI 1720126683
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since February 2, 2007.
## Identity
- **NPI:** 1720126683 (Entity type: Individual)
- **Enumerated:** February 2, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019-027035 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3915 W 26TH ST, Chicago, IL 60623-3704
- **Phone:** (773) 522-2929
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 14, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 28, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1720126683) · Data from the CMS NPPES public registry.