DRS. Larson, Martyn, & Hafner, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS. LARSON, MARTYN, & HAFNER, LLP

Practice address

10562 N Port Washington Rd
Mequon, WI 53092-5537

Phone

(262) 240-1220

Fax

(262) 240-1232

NPI assigned

Jan 30, 2007

Last updated

Mar 26, 2008By 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

Dr. David G. Martyn, D. D. S.

Title

Dentist Partner

Phone

(262) 240-0554

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Robert Andrew Hafner, DDS

  • General Practice Dentistry
  • Mequon, WI
  • NPI 1912043266
  NPD (past)
• Nancy Yvonne Larson, D.D.S.

  • General Practice Dentistry
  • Mequon, WI
  • NPI 1922144260
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1588700900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10562 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925537",
            "telephone_number": "262-240-1220",
            "fax_number": "262-240-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10562 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925537",
            "telephone_number": "262-240-1220",
            "fax_number": "262-240-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. LARSON, MARTYN, & HAFNER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "MARTYN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DENTIST  PARTNER",
        "authorized_official_telephone_number": "262-240-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camrin Jade Dressel, PA-C
• Polly Elizabeth Drew, LCSW, LMFT
• DRJ & Associates, LLC
• Colleen Marie Drosdeck, PSY.D.
• Yelena Drozdov, LPC
• Drugs R US
• Meredith L Drvaric, DNP-FNP, FNP-BC, RN
• Tanya Ducksworth
• Kristen L Dudas, PA-C
• Cali Dudgeon, P.A.

• General Practice Dentistry in Mequon, WI
• Providers in Mequon, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.