Odyssey Dental Anesthesia PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ODYSSEY DENTAL ANESTHESIA PA

Practice address

7504 San Jacinto PL
Plano, TX 75024-3233

Phone

(469) 215-3494

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gary D Martin, DC

Title

Member

Phone

(469) 215-3494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1851036016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 SAN JACINTO PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243233",
            "telephone_number": "972-789-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 SAN JACINTO PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243233",
            "telephone_number": "469-215-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY DENTAL ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "469-215-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odette Louise Campbell, MD, PA
• Coleman Alexander Odlozil, MD
• Benjamin Lee Odom, PT, DPT
• Jennifer Spencer Odom, LPC
• Todd A Odom, MD
• Carryl Tan Oei, DO
• Jacob Christopher Oergel, D.C.
• Dinah M. Ogeto
• Mikayla Elise Ogle
• Raelin Lee Ogle

• Anesthesiology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Anesthesiology Physician in Texas

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