Kevin James Ortale, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5316 Issued in AZ

Practice address

702 E Bell Rd
Suite 114
Phoenix, AZ 85022-6639

Phone

(602) 404-0330

Fax

(602) 404-0312

NPI assigned

Sep 25, 2006

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kevin J Ortale DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1871984104
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336240340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 EAST BELL ROAD",
            "address_2": "SUITE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-404-0330",
            "fax_number": "602-404-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E BELL RD",
            "address_2": "SUITE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-404-0330",
            "fax_number": "602-404-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTALE",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Orsich, RN, FNP
• Craig Orsini, LCSW
• Eva Karin Orso, PT
• Bozena Orszulak, PTA
• Lauren Orszulak, M.S., CCC-SLP
• Ortansa, PC
• Jicelle Ortega Emigdio
• Natalia Nicole Ortega Felix
• Alexis Marie Ortega
• Andrea Nicole Ortega

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.