Active NPI
Michael Lewis Ortman, DDS
- General Practice Dentistry
- Dayton, OH
National Provider Identifier
1538112669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17962
- Practice address
- 4224 Philadelphia Dr
Dayton, OH 45405-1924 - Phone
- (937) 276-3172
- Fax
- (937) 276-3318
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17962 | OH | Primary |
Addresses
Primary practice location
4224 Philadelphia Dr
Dayton, OH 45405-1924
Mailing address
4224 Philadelphia Dr
Dayton, OH 45405-1924
Phone (937) 276-3172
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 |
|---|---|---|---|
| 17962 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1538112669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4224 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454051924",
"telephone_number": "937-276-3172",
"fax_number": "937-276-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454051924",
"telephone_number": "937-276-3172",
"fax_number": "937-276-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTMAN",
"first_name": "MICHAEL",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "17962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.