Daniel K. Martisius, D.D.S., M.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4436 Issued in LA

Legal business name

DANIEL K. MARTISIUS, D.D.S., M.S

Practice address

5000 Forsythe Bypass
Suite 116
Monroe, LA 70201

Phone

(318) 388-2220

Fax

(318) 388-2219

NPI assigned

Apr 23, 2007

Last updated

Oct 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel K. Martisius, DDS MSNPI 1730275967

Title

Owner Doctor

Phone

(318) 388-2220

Specialties & licenses 1

Addresses

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.

• Daniel K Martisius, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Monroe, LA
  • NPI 1730275967
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1396963740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 FORSYTHE BYPASS",
            "address_2": "SUITE 116",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "70201",
            "telephone_number": "318-388-2220",
            "fax_number": "318-388-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FORSYTHE BYPASS",
            "address_2": "SUITE 116",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "70201",
            "telephone_number": "318-388-2220",
            "fax_number": "318-388-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL K. MARTISIUS, D.D.S., M.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "MARTISIUS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "318-388-2220",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "4436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Monroe, LA
• Providers in Monroe, LA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.