Active NPI
Joseph A Ortola, DDS
- Dentist
- Fortuna, CA
National Provider Identifier
1174723100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35963
- Practice address
- 569 S. Fortuna Blvd.
Fortuna, CA 95540-3002 - Phone
- (707) 725-4419
- Fax
- (707) 725-3233
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35963 | CA | Primary |
Addresses
Primary practice location
569 S. Fortuna Blvd.
Fortuna, CA 95540-3002
Mailing address
569 S. Fortuna Blvd.
Fortuna, CA 95540-3002
Phone (707) 725-4419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1174723100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 S. FORTUNA BLVD.",
"city": "FORTUNA",
"state": "CA",
"postal_code": "955403002",
"telephone_number": "707-725-4419",
"fax_number": "707-725-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 S. FORTUNA BLVD.",
"city": "FORTUNA",
"state": "CA",
"postal_code": "955403002",
"telephone_number": "707-725-4419",
"fax_number": "707-725-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTOLA",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fortuna, CA
- Neal E Feuerman, MD, Inc
- Noreen Edwards Expressive Arts, Licensed Clinical Social Worker
- North Coast Emergency Physicians
- Philip L Olkin, M.D.
- Open Door Community Health Centers
- Pacific Memorial Anesthesia Care, Inc
- Paul Stauffer, P.C.
- Kristin Leigh Perkins, LCSW
- Galen Wayne Pettey, PHYSICAL THERAPIST
- Philip L. Olkin, M.D. and C. Ray Jones, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.