Martha Vivian Cendejas, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH.002024704 Issued in CO

Practice address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099

Phone

(580) 354-5175

NPI assigned

Dec 30, 2019

Last updated

Dec 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Martha Vivian Rangel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1114566734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 RATTLESNAKE SPRINGS RD # UBITB",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799064108",
            "telephone_number": "915-479-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073099",
            "telephone_number": "580-354-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENDEJAS",
        "first_name": "MARTHA",
        "middle_name": "VIVIAN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002024704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "RANGEL",
            "middle_name": "VIVIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dental Hygienist in Lawton, OK
• Providers in Lawton, OK by specialty
• Dental Hygienist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.