Active NPI
Gary Lee Martz, M.D.
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1003879297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25465
- Practice address
- 1721 E 19TH Ave
Suite 528
Denver, CO 80218-1251 - Phone
- (303) 813-1400
- Fax
- (303) 813-1401
- NPI assigned
- Apr 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25465 | CO | Primary |
Addresses
Primary practice location
1721 E 19TH Ave
Suite 528
Denver, CO 80218-1251
Mailing address
1721 E 19TH Ave
Suite 528
Denver, CO 80218-1251
Phone (303) 813-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25465 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1003879297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 E 19TH AVE",
"address_2": "SUITE 528",
"city": "DENVER",
"state": "CO",
"postal_code": "802181251",
"telephone_number": "303-813-1400",
"fax_number": "303-813-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 E 19TH AVE",
"address_2": "SUITE 528",
"city": "DENVER",
"state": "CO",
"postal_code": "802181251",
"telephone_number": "303-813-1400",
"fax_number": "303-813-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTZ",
"first_name": "GARY",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-09",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "25465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.