Jorge a. Ontiveros, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K7852 Issued in TX

Legal business name

JORGE A. ONTIVEROS, M.D., P.A.

Practice address

10705 Plano Rd
Suite 200
Dallas, TX 75238-5343

Phone

(214) 553-8545

Fax

(214) 553-9010

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Ontiveros, M.D.

Title

President

Phone

(214) 533-8545

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara M Chavez, D.O.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1609805225
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1508993791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2024",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750012024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 PLANO RD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385343",
            "telephone_number": "214-553-8545",
            "fax_number": "214-553-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A. ONTIVEROS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ONTIVEROS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-533-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DH1290",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0097QV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176862401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Russell Jordan, CRNA
• Stefanya Camille Jordan, LPC, LCDC
• Sytonya Melano Jordan
• Thea Jean Jordan, O.D.
• Jorge a. Arzac M.D., P.a.
• Jorge Casas Ganem MD PA
• Jorge F. Lopez, M.D., P.a.
• Janice E Jorge, PNP
• Stephanie Rodrigues Jorge, LPC
• Annie Duvic Jorgensen, LCSW

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.