Dean E. Martin, M.D., PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

13789 Issued in OK

Legal business name

DEAN E. MARTIN, M.D., PC

Doing business as

Dean E. Martin, M.D.

Practice address

2121 S Columbia Ave
Suite 301
Tulsa, OK 74114-3505

Phone

(918) 749-2463

Fax

(918) 749-2838

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Dean Erwin Martin, M.D.NPI 1154338549

Title

President

Phone

(918) 749-2463

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dean E. Martin, M.D. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean Erwin Martin, M.D.

  • Child & Adolescent Psychiatry Physician
  • Tulsa, OK
  • NPI 1154338549
  NPD (past) Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346342664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S. COLUMBIA AVE.",
            "address_2": "SUITE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143517",
            "telephone_number": "918-749-2463",
            "fax_number": "918-749-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE",
            "address_2": "SUITE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143505",
            "telephone_number": "918-749-2463",
            "fax_number": "918-749-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN E. MARTIN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-749-2463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "13789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "446545683-003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dean E. Martin, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abanti De, PHARMACIST
• Allen Deak, D.PH.
• Katie Deak, PHARMD
• Donald Bryan Deal, M.S., CCC/A
• Jacqueline G Deal, P.T.
• Amanda Dean, DO
• Flor Dean
• Jacob Tao Dean, PA-C
• James W Dean, MD
• Milton Dean III

• Child & Adolescent Psychiatry Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Child & Adolescent Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.