Ricardo M Ortiz, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN23064 Issued in FL

Practice address

3665 Coolidge CT Ste 102
Tallahassee, FL 32311-7894

Phone

(850) 431-6725

Fax

(850) 431-6859

NPI assigned

Jul 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664

  FL

  Medicare reassignment NPD
• Ricardoomfs.L.L.C

  • Oral and Maxillofacial Surgery (Dentist)
  • Tallahassee, FL
  • NPI 1619477668

  Oral and Maxillofacial Surgery

  NPD Authorized official
• Tallahassee Oral and Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tallahassee, FL
  • NPI 1902398639

  Oral and Maxillofacial Surgery

  NPD Authorized official
• Tallahassee Memorial Healthcare Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102
  NPD
• Tallahassee Memorial Healthcare Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Tallahassee, FL
  • NPI 1578075503

  Oral & Maxillofacial Surgery

  NPD

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1497984785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 COOLIDGE CT STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117894",
            "telephone_number": "850-431-6725",
            "fax_number": "850-431-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 COOLIDGE CT STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117894",
            "telephone_number": "850-431-6725",
            "fax_number": "850-431-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "RICARDO",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "D-10615",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN23064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orkin Pest Control
• Dan Oronje, OTR/L
• Helen Ortega
• Angel Luis Ortiz, M.D.
• Melissa Ortiz, OTA
• Winston R Ortiz, MD
• Sacora Ann Osbon
• Osborne LLC
• Osborne LLC
• Lashun Osborne, PHARM.D.

• All providers in Tallahassee, FL
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.