Active NPI
Oscar Ivan Ortiz Urrego, DDS
- Dentist
- Chelsea, MA
National Provider Identifier
1528296688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL10592
- Practice address
- 180 Walnut St
Chelsea, MA 02150 - Phone
- (617) 889-2864
- NPI assigned
- Jun 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL10592 | MA | Primary |
Addresses
Primary practice location
180 Walnut St
Chelsea, MA 02150
Mailing address
715 Albany St # 5603
Boston, MA 02118-2526
Phone (617) 414-1134
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
| License | State | Type | Specialty |
|---|---|---|---|
| DL10592 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1528296688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 ALBANY ST # 5603",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182526",
"telephone_number": "617-414-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WALNUT ST",
"city": "CHELSEA",
"state": "MA",
"postal_code": "02150",
"telephone_number": "617-889-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ URREGO",
"first_name": "OSCAR",
"middle_name": "IVAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL10592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.