Individual provider Active NPI

Amelia L Orta, D.M.D

  • Prosthodontics
  • Washington, DC
National Provider Identifier
1396137642
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DEN1001905 Issued in DC
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

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN1001905DCMDProsthodontist

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.

Verify at the official NPI Registry.