Gavin Humphrey Martindale, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7714 Issued in OK

Practice address

710 W 71St St
Tulsa, OK 74132-1825

Phone

(918) 262-8925

NPI assigned

May 22, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1124710801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 S NORFOLK AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056813",
            "telephone_number": "918-262-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321825",
            "telephone_number": "918-262-8925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 S Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741353024",
            "country_code": "US",
            "telephone_number": "918-215-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "GAVIN",
        "middle_name": "HUMPHREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Martin, CRNA
• Trevor Alan Martin
• Veronica Nicholle Martin
• Victoria Martin
• Zane Frederick Martin, CRNA
• George Martindale
• Denise Marie Martineau, APRN
• Tiffany Marie Martinelli, PA-C
• Victoria Tatnai Martinez Arevalo
• Emily Martinez Blevins, LMSW

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.