Todd Wortman D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046399 Issued in NY

Legal business name

TODD WORTMAN D.D.S., P.C.

Practice address

140 Lockwood Ave
Suite 303
New Rochelle, NY 10801-4915

Phone

(914) 636-6363

Fax

(914) 235-7878

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Wortman, D.D.S.NPI 1134143993

Title

President

Phone

(914) 636-6363

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.

• Todd Wortman, D.D.S.

  • General Practice Dentistry
  • New Rochelle, NY
  • NPI 1134143993
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376766782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 303",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-6363",
            "fax_number": "914-235-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 303",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-6363",
            "fax_number": "914-235-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD WORTMAN D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORTMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-636-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tian Yang Family Health NP P.C.
• Ivy Tilson-Rentz, OTR/L
• Maria Timotheatou, SPECIAL EDUCATION
• Tobi Klar M.D. P.C.
• Mark A. Tobias, LCSW-R
• Taryn Greta Tollman, LCSW
• Marisa Tolve, MS
• Ymi Ton
• Elisa Ann Torelli, REGISTERED NURSE
• Amanda Isabel Torres

• General Practice Dentistry in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.