Spartan Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

6717 Issued in OK

Legal business name

SPARTAN FAMILY DENTISTRY

Practice address

5 W Dawes Ave
Bixby, OK 74008-4422

Phone

(918) 366-3777

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By 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. Martin Trockel, DDS

Title

Doctor

Phone

(918) 366-3777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1750839163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W DAWES AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "74008",
            "telephone_number": "918-366-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W DAWES AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084422",
            "telephone_number": "918-366-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "TROCKEL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-366-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bixby, OK
• Providers in Bixby, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.