Individual provider Active NPI

Nadgie Ortiz-Diaz, D.M.D.

  • Pediatric Dentistry
  • Toa Baja, PR
National Provider Identifier
1487712261
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2514 Issued in PR
Practice address
Aa1 Ave Don Pelayo
Urb. Covadonga
Toa Baja, PR 00949-5388
Phone
(787) 798-8589
Fax
(787) 785-8589
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2514 PR Primary

Addresses

Primary practice location

Aa1 Ave Don Pelayo
Urb. Covadonga
Toa Baja, PR 00949-5388

Mailing address

914 Via Pintada
Hacienda San Jose
Caguas, PR 00727
Phone (787) 529-1777

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
2514PRMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nadgie Ortiz Diaz DMD PLLC Pediatric Dentistry CurrentSince Sep 27, 2020 Accepting new patients

Locations

24560 Southpoint Dr
Ste 240
Aldie, VA 20105
Phone (276) 663-3126

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1487712261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 VIA PINTADA",
            "address_2": "HACIENDA SAN JOSE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-529-1777",
            "fax_number": "787-653-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA1 AVE DON PELAYO",
            "address_2": "URB. COVADONGA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009495388",
            "telephone_number": "787-798-8589",
            "fax_number": "787-785-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-DIAZ",
        "first_name": "NADGIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.