Christine a Fortmann DDS Inc

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

CHRISTINE A FORTMANN DDS INC

Practice address

32281 Camino Capistrano Ste C102
San Juan Capistrano, CA 92675-3784

Phone

(949) 429-8833

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Christine Fortmann, DDS

Title

Owner

Phone

(949) 429-8833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1013532324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32281 CAMINO CAPISTRANO STE C102",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753784",
            "telephone_number": "949-429-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32281 CAMINO CAPISTRANO STE C102",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753784",
            "telephone_number": "949-429-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A FORTMANN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "FORTMANN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-429-8833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Chen, BCBA
• Priscilla Margarita Chilian
• Eric K Chiu, RPH
• Hyung Sup Jeff Choi, PH.D.
• Rebecca Chou, DACM
• Virginia Yvonne Christy
• Connie H. Chu, O.D.
• Amy Amornrat Chua, MFT
• Anna Seung-Eun Chung, DDS
• Julie Diane Chutuk, PPS

• Prosthodontics in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.