Orbie Ottey Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10166 Issued in TN

Practice address

2702 Wilma Rudolph Blvd
Clarksville, TN 37040-6299

Phone

(931) 542-4759

NPI assigned

Oct 12, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1306217773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATTS CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094410",
            "telephone_number": "702-526-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406299",
            "telephone_number": "931-542-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEY",
        "first_name": "ORBIE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samson Kanla Orusa, M.D
• Joanna Osborne
• Keyana Oshiomha
• Kelly Osmon, RBT
• Ashley Otero-Robles
• Abigail Owen
• Bonita A Owens, OTR/L
• Cara Owens, OTR
• Eyitemi Owens, FNP-BC
• Sarah Jeanne Ownby

• Dentist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.