Individual provider Active NPI

Liliana Alejandra Ortiz Camacho, DDS

  • Dentist
  • New York, NY
National Provider Identifier
1306312301
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00000097 Issued in NY
Practice address
320 E 23Rd St Apt 2F
New York, NY 10010-4725
Phone
(347) 557-6844
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00000097 NY Primary

Addresses

Primary practice location

320 E 23Rd St Apt 2F
New York, NY 10010-4725

Mailing address

320 E 23Rd St Apt 2F
New York, NY 10010-4725
Phone (347) 557-6844

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

LicenseStateTypeSpecialty
00000097NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1306312301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 23RD ST APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104725",
            "telephone_number": "347-557-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 23RD ST APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104725",
            "telephone_number": "347-557-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ CAMACHO",
        "first_name": "LILIANA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "00000097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.