Organization Active NPI

Orly Dental PC

  • Dentist
  • San Antonio, TX
National Provider Identifier
1275829368
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18773 Issued in TX
Legal business name
ORLY DENTAL PC
Practice address
4935 W Commerce St
San Antonio, TX 78237-1508
Phone
(210) 438-0700
Fax
(210) 438-0701
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Mrs. Orlando Ortiz Jr., DDS
Title
President
Phone
(281) 857-2961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18773 TX Primary

Addresses

Primary practice location

4935 W Commerce St
San Antonio, TX 78237-1508

Mailing address

4935 W Commerce St
San Antonio, TX 78237-1508
Phone (210) 438-0700

National Provider Directory

National Provider Directory

Locations

4935 W Commerce St
San Antonio, TX 78237
Phone (210) 438-0700

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1275829368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 W COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782371508",
            "telephone_number": "210-438-0700",
            "fax_number": "210-438-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 W COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782371508",
            "telephone_number": "210-438-0700",
            "fax_number": "210-438-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-857-2961",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.