Active NPI
Marty R Lipsey DDS Ms Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Modesto, CA
National Provider Identifier
1326204009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 26675
- Legal business name
- MARTY R LIPSEY DDS MS INC
- Practice address
- 605 Standiford Ave
Suite H
Modesto, CA 95350-1000 - Phone
- (209) 527-1995
- Fax
- (877) 641-2283
- NPI assigned
- Aug 1, 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. Marty R Lipsey, DDS MS
- Title
- President
- Phone
- (209) 527-1995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 26675 | CA | Primary |
Addresses
Primary practice location
605 Standiford Ave
Suite H
Modesto, CA 95350-1000
Mailing address
26626 Brooks Cir
Stevenson Ranch, CA 91381-1459
Phone (209) 527-1995
National Provider Directory
National Provider DirectoryLocations
605 Standiford Ave
Ste H
Modesto, CA 95350
Phone (209) 527-1995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403308800000",
"number": "1326204009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26626 BROOKS CIR",
"city": "STEVENSON RANCH",
"state": "CA",
"postal_code": "913811459",
"telephone_number": "209-527-1995",
"fax_number": "866-527-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 STANDIFORD AVE",
"address_2": "SUITE H",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501000",
"telephone_number": "209-527-1995",
"fax_number": "877-641-2283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTY R LIPSEY DDS MS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-01",
"last_updated": "2014-06-21",
"status": "A",
"authorized_official_last_name": "LIPSEY",
"authorized_official_first_name": "MARTY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-527-1995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "26675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.