Organization Active NPI

Martha L Garzon DMD, Ms

  • Pediatric Dentistry
  • Edmond, OK
National Provider Identifier
1104091479
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5504 Issued in OK
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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.

Verify at the official NPI Registry.