Active NPI
Kathryn Ann Ortiz, M.D.
- Child & Adolescent Psychiatry Physician
- Dallas, TX
National Provider Identifier
1376757971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- H2658
- Practice address
- 8625 King George Dr Ste 111
Dallas, TX 75235-2240 - Phone
- (214) 542-2363
- Fax
- (214) 631-6698
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | H2658 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | H2658 | TX | Primary |
Addresses
Primary practice location
8625 King George Dr Ste 111
Dallas, TX 75235-2240
Mailing address
8625 King George Dr Ste 111
Dallas, TX 75235-2240
Phone (214) 631-7002
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2658 | TX | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1376757971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8625 KING GEORGE DR STE 111",
"city": "DALLAS",
"state": "TX",
"postal_code": "752352240",
"telephone_number": "214-631-7002",
"fax_number": "214-631-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8625 KING GEORGE DR STE 111",
"city": "DALLAS",
"state": "TX",
"postal_code": "752352240",
"telephone_number": "214-542-2363",
"fax_number": "214-631-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "TX",
"license": "H2658",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "H2658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.