Active NPI
Martha L Garzon DMD, Ms
- Pediatric Dentistry
- Edmond, OK
National Provider Identifier
1104091479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5504
- Legal business name
- MARTHA L GARZON DMD, MS
- Practice address
- 609 S Kelly Ave Ste C1
Edmond, OK 73003-5743 - Phone
- (405) 348-5757
- Fax
- (405) 348-8221
- NPI assigned
- Apr 28, 2008
- Last updated
- Apr 28, 2008
- 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. Martha Garzon, DMD, MS
- Title
- DMD, Ms
- Phone
- (405) 348-5757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5504 | OK | Primary |
Addresses
Primary practice location
609 S Kelly Ave Ste C1
Edmond, OK 73003-5743
Mailing address
609 S Kelly Ave Ste C1
Edmond, OK 73003-5743
Phone (405) 348-5757
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Edmond, OK
- NPI 1376691709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1104091479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S KELLY AVE STE C1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035743",
"telephone_number": "405-348-5757",
"fax_number": "405-348-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S KELLY AVE STE C1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035743",
"telephone_number": "405-348-5757",
"fax_number": "405-348-8221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA L GARZON DMD, MS",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "GARZON",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "DMD, MS",
"authorized_official_telephone_number": "405-348-5757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "OK",
"license": "5504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.