Individual provider Active NPI

Jorge Ortiz Class, D.M.D.

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1013915677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1942 Issued in PR
Practice address
618 Calle Infante
Ext El Comandante
Carolina, PR 00982-3663
Phone
(787) 257-8550
Fax
(787) 762-0440
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1942 PR Primary

Addresses

Primary practice location

618 Calle Infante
Ext El Comandante
Carolina, PR 00982-3663

Mailing address

618 Calle Infante
Ext El Comandante
Carolina, PR 00982-3663
Phone (787) 257-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626001061 PR Order and Referring Only - DentistPractitioner - Dentist 1850669326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1942PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013915677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 CALLE INFANTE",
            "address_2": "EXT EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823663",
            "telephone_number": "787-257-8550",
            "fax_number": "787-762-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 CALLE INFANTE",
            "address_2": "EXT EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823663",
            "telephone_number": "787-257-8550",
            "fax_number": "787-762-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ CLASS",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.