Active NPI
Morteza Montazeri,M.D.Inc
- Specialist
- Lawton, OK
National Provider Identifier
1205082898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13452
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.