Nathan R. Martzke DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NATHAN R. MARTZKE DDS PLLC

Doing business as

Modern Dentistry of Royal Oak

Practice address

1619 N Main St
Royal Oak, MI 48067-1320

Phone

(248) 544-7200

Fax

(248) 544-7254

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By 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

Colleen Diane Shelton

Title

Admin

Phone

(248) 544-7200

Specialties & licenses 1

Addresses

Other names 1

• Modern Dentistry of Royal Oak Doing business as

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.

• Jacob Ruble, DDS

  • General Practice Dentistry
  • Royal Oak, MI
  • NPI 1205718103
  NPD
• Mark Vanderkaay, DDS

  • Dentist
  • Royal Oak, MI
  • NPI 1376697730
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1750013819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671320",
            "telephone_number": "248-544-7200",
            "fax_number": "248-544-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671320",
            "telephone_number": "248-544-7200",
            "fax_number": "248-544-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN R. MARTZKE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "248-544-7200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dentistry of Royal Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy a Sparrow LMSW LLC
• Aqsa Nasir
• Courtney Nason, NP
• Maya Nassif
• Teodora Nasta, M.D.
• Michelle Ann Navetta, NP
• Kathleen N Nawrot, PA-C
• Jannatul Nayeem
• Waheeda Nazneen, M.D.,
• Ermelinda Ndoka, MD

• General Practice Dentistry in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.