Active NPI
Marty R. Lipsey, DDS, Ms, Inc
- Dental Clinic/Center
- Redding, CA
National Provider Identifier
1073875852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 26675
- Legal business name
- MARTY R. LIPSEY, DDS, MS, INC
- Practice address
- 2421 Hartnell Ave
Redding, CA 96002-2340 - Phone
- (209) 527-1995
- Fax
- (866) 527-2335
- NPI assigned
- Jun 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marty Richard Lipsey, D.D.S., M.S.
- Title
- President
- Phone
- (209) 380-5486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 26675 | CA | Primary |
Addresses
Primary practice location
2421 Hartnell Ave
Redding, CA 96002-2340
Mailing address
3025 McHenry Ave
Suite N
Modesto, CA 95350-1466
Phone (209) 527-1995
National Provider Directory
National Provider DirectoryLocations
2750 Eureka Way
Ste 3
Redding, CA 96001
Phone (209) 527-1995
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Redding, CA
- NPI 1538360631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1073875852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 MCHENRY AVE",
"address_2": "SUITE N",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501466",
"telephone_number": "209-527-1995",
"fax_number": "866-527-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 HARTNELL AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960022340",
"telephone_number": "209-527-1995",
"fax_number": "866-527-2335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTY R. LIPSEY, DDS, MS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-08",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "LIPSEY",
"authorized_official_first_name": "MARTY",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-380-5486",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., M.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "26675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.