Organization Active NPI

Morteza Montazeri,M.D.Inc

  • Specialist
  • Lawton, OK
National Provider Identifier
1205082898
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13452 Issued in OK
Legal business name
MORTEZA MONTAZERI,M.D.INC
Practice address
910 SW 38TH St
Suite#a
Lawton, OK 73505-7013
Phone
(580) 357-6700
Fax
(580) 357-9912
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Morteza N Montazeri, M.D.
Title
Physician
Phone
(580) 357-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13452 OK Primary

Addresses

Primary practice location

910 SW 38TH St
Suite#a
Lawton, OK 73505-7013

Mailing address

910 SW 38TH St
Suite#a
Lawton, OK 73505-7013
Phone (580) 357-6700

National Provider Directory

National Provider Directory

Locations

910 SW 38th St
Lawton, OK 73505
Phone (580) 351-9956

910 SW 38th St
Ste A
Lawton, OK 73505
Phone (580) 248-7060

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1205082898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SW 38TH ST",
            "address_2": "SUITE#A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057013",
            "telephone_number": "580-357-6700",
            "fax_number": "580-357-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW 38TH ST",
            "address_2": "SUITE#A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057013",
            "telephone_number": "580-357-6700",
            "fax_number": "580-357-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTEZA MONTAZERI,M.D.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "MONTAZERI",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-357-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "13452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.