Jose Orlando Maldonado-Ortiz, DDS, PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13988 Issued in MN

Practice address

450 Syndicate St N
Saint Paul, MN 55104-4107

Phone

(651) 254-7373

NPI assigned

May 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• Group Health, Inc.

  dba HealthPartners Bloomington Dental Cliic

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1922153881
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD
• Columbia Heights Dentistry, PC

  dba Columbia Heights Dentistry

  • General Practice Dentistry
  • Columbia Heights, MN
  • NPI 1982060430
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1689164782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 EMBER WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551249247",
            "telephone_number": "787-557-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SYNDICATE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044107",
            "telephone_number": "651-254-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Office of Clinical Director",
            "address_2": "10 Center Drive 5-2531",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208921470",
            "country_code": "US",
            "telephone_number": "787-557-6769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5220 Central Ave NE Ste 240",
            "address_purpose": "LOCATION",
            "city": "Columbia Heights",
            "state": "MN",
            "postal_code": "554211823",
            "country_code": "US",
            "telephone_number": "763-275-1319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO-ORTIZ",
        "first_name": "JOSE",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Making Sense Together Counseling
• Asif Karimbhai Maknojia, MD
• Alexandra Maland, RN PHN IBCLC
• Robert M Maland, DDS
• Sheila Maland, LP
• Melanie Marie Reese Maldonado, RD
• Corinne Kemper Malecha, MPH, RD, LD
• Nicholas John Maleska, MD
• Kimberly Hayes Maley, LADC
• Robert John Maley, D.D.S

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.

Verify at the official NPI Registry.