Emil Orza, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013976 Issued in GA

Practice address

1699 Duluth Hwy
Lawrenceville, GA 30043-5010

Phone

(770) 338-1963

Fax

(770) 338-8626

NPI assigned

Oct 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jerry E Nutt DDS & Assoc of Lawrenceville

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1508905001

  General Practice

  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1104152529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BRIGHTON ROSE LN",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187706",
            "telephone_number": "770-641-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 DULUTH HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435010",
            "telephone_number": "770-338-1963",
            "fax_number": "770-338-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORZA",
        "first_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthoatlanta
• Orthoatlanta, LLC
• Orthopedic Surgery, P.C.
• Johana Medina Ortiz, CNP
• Margaret Ortiz
• Verena Orzikowski
• Glory Osadiaye, PMHNP, MSN, BSN, RN
• Amimi Sandra Osayande, M.D.
• Carol Ann Osbaldeston, LCSW
• Marshelia Osborne

• All providers in Lawrenceville, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.