Individual provider Active NPI

Alejandro Alberto Romero Delmastro, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Enid, OK
National Provider Identifier
1013204601
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
196 Issued in OK
Practice address
402 S Oakwood Rd Ste a
Enid, OK 73703-4945
Phone
(580) 233-2557
Fax
(580) 233-2563
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 352 OK
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 196 OK Primary

Addresses

Primary practice location

402 S Oakwood Rd Ste a
Enid, OK 73703-4945

Mailing address

402 S Oakwood Rd Ste a
Enid, OK 73703-4945
Phone (580) 233-2557

Other practice location 1

1201 N Stonewall Ave
OU College of Dentistry
Oklahoma City, OK 73117-1214
Phone (405) 271-8001 ext. 34137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
196OKMDMarriage & Family Therapist
352OKMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552176000000",
    "number": "1013204601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S OAKWOOD RD STE A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034945",
            "telephone_number": "580-233-2557",
            "fax_number": "580-233-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S OAKWOOD RD STE A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034945",
            "telephone_number": "580-233-2557",
            "fax_number": "580-233-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Stonewall Ave",
            "address_2": "OU College of Dentistry",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731171214",
            "country_code": "US",
            "telephone_number": "405-271-8001 x34137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO DELMASTRO",
        "first_name": "ALEJANDRO",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2019-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "352",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.