Individual provider Active NPI

Joseph Arthur Ortlieb, D.D.S.

  • Dentist
  • Deerfield Beach, FL
National Provider Identifier
1649494949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 13702 Issued in FL
Practice address
313 SE 15TH Ter
Deerfield Beach, FL 33441-4472
Phone
(954) 427-7513
Fax
(954) 427-7513
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 13702 FL Primary

Addresses

Primary practice location

313 SE 15TH Ter
Deerfield Beach, FL 33441-4472

Mailing address

313 SE 15TH Ter
Deerfield Beach, FL 33441-4472
Phone (954) 427-7513

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

LicenseStateTypeSpecialty
DN 13702FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dental of East Deerfield Beach PLLC Dentist PastSince Jan 17, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649494949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SE 15TH TER",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414472",
            "telephone_number": "954-427-7513",
            "fax_number": "954-427-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SE 15TH TER",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414472",
            "telephone_number": "954-427-7513",
            "fax_number": "954-427-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTLIEB",
        "first_name": "JOSEPH",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 13702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.