Active NPI
Lance F. Ortman, DDS
- Prosthodontics
- Orchard Park, NY
National Provider Identifier
1275626715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0304371
- Practice address
- 6435 Webster Road
Orchard Park Prosthodontics LLP
Orchard Park, NY 14127 - Phone
- (716) 662-7229
- NPI assigned
- Oct 2, 2006
- Last updated
- Jun 18, 2008
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 0304371 | NY | Primary |
Addresses
Primary practice location
6435 Webster Road
Orchard Park Prosthodontics LLP
Orchard Park, NY 14127
Mailing address
910 Porterville Rd
East Aurora, NY 14052-9686
Phone (716) 829-2862
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0304371 | NY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1275626715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 PORTERVILLE RD",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140529686",
"telephone_number": "716-829-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 WEBSTER ROAD",
"address_2": "ORCHARD PARK PROSTHODONTICS LLP",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-662-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTMAN",
"first_name": "LANCE",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "0304371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.