Individual provider Active NPI

Marta C. Persinger, D.D.S.

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1255362117
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5145 Issued in AZ
Practice address
4022 E Greenway Rd
#13
Phoenix, AZ 85032-4797
Phone
(602) 867-4567
Fax
(602) 867-0829
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D5145 AZ Primary

Addresses

Primary practice location

4022 E Greenway Rd
#13
Phoenix, AZ 85032-4797

Mailing address

12596 N 72ND PL
Scottsdale, AZ 85260-4758
Phone (602) 867-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D5145AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255362117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 N 72ND PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604758",
            "telephone_number": "602-867-4567",
            "fax_number": "602-867-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 E GREENWAY RD",
            "address_2": "#13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324797",
            "telephone_number": "602-867-4567",
            "fax_number": "602-867-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSINGER",
        "first_name": "MARTA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.