Marquis Center of Oklahoma City PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

MARQUIS CENTER OF OKLAHOMA CITY PLLC

Practice address

Marquis Center of Oklahoma City, PLLC
13901 Parkway Commons Suite D
Oklahoma City, OK 73134

Phone

(405) 500-7004

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Clark Allen Petersen Jr.

Title

Operations Director

Phone

(618) 402-6622

Specialties & licenses 1

Addresses

Other names 1

• Marquis Centers Doing business as

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Calvin Peck Jr., D.D.S.

  • Dentist
  • Oklahoma City, OK
  • NPI 1730317546
  NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1013586676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 N CENTRAL EXPY STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054246",
            "telephone_number": "618-402-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARQUIS CENTER OF OKLAHOMA CITY, PLLC",
            "address_2": "13901 PARKWAY COMMONS SUITE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-500-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS CENTER OF OKLAHOMA CITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "618-402-6622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@marquiscenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Marquis Center of Oklahoma City, PLLC",
            "address_2": "13901 Parkway Commons Suite D",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@marquiscenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Marquis Center of Oklahoma City, PLLC",
            "address_2": "13901 Parkway Commons Suite D",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marquis Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Jerome Marmande, CRNA
• Prasanna K. Marpu, MD
• Angelique Marquez-Clark
• Beatriz Marquez, BA
• Meagan Dayne Marquez, PTA
• Marquis Labs, LLC
• Marquis Labs, LLC
• Lillian Marquis
• Meleah Brooke Marquis
• Andrew Joseph Marra, M.S., LPC

• Oral and Maxillofacial Surgery Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.