Active NPI
Amelia L Orta, D.M.D
- Prosthodontics
- Washington, DC
National Provider Identifier
1396137642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DEN1001905
- Practice address
- 1234 19TH St NW Ste 306
Washington, DC 20036-2468 - Phone
- (202) 293-7177
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | GA | ||
| Prosthodontics | 1223P0700X | DEN1001905 | DC | Primary |
Addresses
Primary practice location
1234 19TH St NW Ste 306
Washington, DC 20036-2468
Mailing address
16729 Miller LN
Parkton, MD 21120-9775
Phone (404) 804-6129
Other practice location 1
723 Saint Andrews Dr
Augusta, GA 30909-7817
Phone (404) 804-6129
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1001905 | DC | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1396137642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16729 MILLER LN",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209775",
"telephone_number": "404-804-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 19TH ST NW STE 306",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200362468",
"telephone_number": "202-293-7177"
}
],
"practiceLocations": [
{
"address_1": "723 Saint Andrews Dr",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309097817",
"country_code": "US",
"telephone_number": "404-804-6129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTA",
"first_name": "AMELIA",
"middle_name": "L",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "DC",
"license": "DEN1001905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.