Active NPI
Abram Ortega, DMD
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1508411372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN26433
- Practice address
- 3909 N Ih 35 Ste A1
Austin, TX 78722-1529 - Phone
- (512) 458-5600
- NPI assigned
- Aug 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35368 | TX | |
| General Practice Dentistry | 1223G0001X | DN26433 | FL | Primary |
Addresses
Primary practice location
3909 N Ih 35 Ste A1
Austin, TX 78722-1529
Mailing address
512 Paul Jones Pass
Austin, TX 78748-2924
Phone (210) 421-6180
Other practice location 1
23036 Sr-54 E
Suite 403
Lutz, FL 33549
Phone (813) 909-1317
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211008000033 | FL | Order and Referring Only - Dentist | 0840698619 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN26433 | FL | MD | General Practice Dentistry |
| 35368 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Past | Accepting new patients | |
| Coast Florida P.a. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Dentist
- Tampa, FL
- NPI 1730287673
-
- Dentist
- Lutz, FL
- NPI 1740856129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1508411372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 PAUL JONES PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787482924",
"telephone_number": "210-421-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 N IH 35 STE A1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787221529",
"telephone_number": "512-458-5600"
}
],
"practiceLocations": [
{
"address_1": "23036 SR-54 E",
"address_2": "Suite 403",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "33549",
"country_code": "US",
"telephone_number": "813-909-1317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTEGA",
"first_name": "ABRAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-07",
"last_updated": "2021-09-13",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35368",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN26433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.