Javier J Ortiz, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

25874 Issued in TX

Practice address

700 E Campbell Rd Ste 230
Richardson, TX 75081-2042

Phone

(972) 479-1200

Fax

(972) 479-1203

NPI assigned

Oct 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

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.

• Endodontic and Periodontic Specialists

  • Periodontics
  • Richardson, TX
  • NPI 1881961076

  Endodontics

  NPD (past) Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1689863128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E CAMPBELL RD STE 230",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812042",
            "telephone_number": "972-479-1200",
            "fax_number": "972-479-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E CAMPBELL RD STE 230",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812042",
            "telephone_number": "972-479-1200",
            "fax_number": "972-479-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JAVIER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "25874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199242",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orchid Hospice LLC
• Laura Jean Ortega, PT, DPT
• Orthovan
• Barbara M Orticelli, LPC
• Jan N Ortiz, DMD
• Frances Dorothea Osborn, MABC, LPC, LPC SUPV
• Todd Osborn, M.A.
• Rebekah Oseguera
• Gabriel W Osemwegie
• Adesola M Osibamowo, R.N.

• Endodontics in Richardson, TX
• Providers in Richardson, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.