Active NPI
Alejandro Alberto Romero Delmastro, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enid, OK
National Provider Identifier
1013204601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 196
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 196 | OK | MD | Marriage & Family Therapist |
| 352 | OK | MD | Orthodontics 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.