Ortega River Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DN19050 Issued in FL

Legal business name

ORTEGA RIVER DENTISTRY

Practice address

5911 Timuquana Rd Ste 202
Jacksonville, FL 32210-8174

Phone

(904) 864-2222

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Linh Truong

Title

DMD/ Owner

Phone

(904) 864-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cole Carpenter, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1356182950
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1346606431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 TIMUQUANA RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 TIMUQUANA RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108174",
            "telephone_number": "904-864-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTEGA RIVER DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "DMD/ OWNER",
        "authorized_official_telephone_number": "904-864-2222"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012642300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Orski, LCSW
• Raul Ramon Orta, MD
• Ortega Chiropractic Corp.
• Andrea Constanza Ortega Garcia
• Ortega Orthodontics, PLLC (Ortega Orthodontics)
• Delia Ortega, RN
• Luis Ortega, MD
• Naila Ortega, D.D.S
• Samantha Lynn Ortego, LMHC
• Ortho 99 Plus 1

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.