Individual provider Active NPI

Margaret Tarr Deshazer, MS, RD/LD

  • Registered Dietitian
  • Edmond, OK
National Provider Identifier
1891343752
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
703 Issued in OK
Practice address
1 S Broadway Ste 303
Edmond, OK 73034-3706
Phone
(405) 822-6129
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 703 OK Primary

Addresses

Primary practice location

1 S Broadway Ste 303
Edmond, OK 73034-3706

Mailing address

20 E Blanch Ave
Edmond, OK 73034-3633
Phone (405) 822-6129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220001372 OK Practitioner - Registered Dietitian Or Nutrition Professional 4587098751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13901 McAuley Blvd
Suite 303
Oklahoma City, OK 73134-8704
Phone (405) 906-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Dietitian Specialists of Oklahoma Dietitian, Registered CurrentSince Sep 1, 2019 Accepting new patients

Locations

1 S Broadway
Ste 303
Edmond, OK 73034
Phone (405) 696-6917

13901 McAuley Blvd
Ste 303
Oklahoma City, OK 73134
Phone (405) 748-5800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1891343752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E BLANCH AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343633",
            "telephone_number": "405-822-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BROADWAY STE 303",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343706",
            "telephone_number": "405-822-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAZER",
        "first_name": "MARGARET",
        "middle_name": "TARR",
        "credential": "MS, RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.