NPIMap

Organization Active NPI

MJR Enterprises LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1871733519
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
2299 Issued in OK
Legal business name
MJR ENTERPRISES LLC
Practice address
3800 W. 71St
Inverness Village
Tulsa, OK 74132
Phone
(918) 388-4254
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Martha Jean Root, D.O.
Title
Owner
Phone
(918) 260-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 2299 OK Primary

Addresses

Primary practice location

3800 W. 71St
Inverness Village
Tulsa, OK 74132

Mailing address

58 St Andrews Cir
Broken Arrow, OK 74011-1107
Phone (918) 260-8802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1871733519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ST ANDREWS CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111107",
            "telephone_number": "918-260-8802",
            "fax_number": "918-252-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W. 71ST",
            "address_2": "INVERNESS VILLAGE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74132",
            "telephone_number": "918-388-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJR ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-260-8802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "2299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.