Organization Active NPI

Comprehensive Dentistry

  • General Practice Dentistry
  • Pauls Valley, OK
National Provider Identifier
1639401607
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMPREHENSIVE DENTISTRY
Practice address
34637 Airline Rd Ste 1
Pauls Valley, OK 73075-8584
Phone
(405) 238-2222
Fax
(405) 238-5181
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Dana J Martin, D.D.S.
Title
Dentist
Phone
(405) 238-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X OK Primary

Addresses

Primary practice location

34637 Airline Rd Ste 1
Pauls Valley, OK 73075-8584

Mailing address

34637 Airline Rd Ste 1
Pauls Valley, OK 73075-8584
Phone (405) 238-2222

Other identifiers 1

IdentifierTypeStateIssuer
193400000XOtherOKDENTAL

National Provider Directory

National Provider Directory

Locations

34637 Airline Rd
Ste 1
Pauls Valley, OK 73075
Phone (405) 238-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1639401607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34637 AIRLINE RD STE 1",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730758584",
            "telephone_number": "405-238-2222",
            "fax_number": "405-238-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34637 AIRLINE RD STE 1",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730758584",
            "telephone_number": "405-238-2222",
            "fax_number": "405-238-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-238-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "193400000X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.