Active NPI
Ortiz Dental Care PLLC
- Dentist
- Freeport, NY
National Provider Identifier
1700057650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ORTIZ DENTAL CARE PLLC
- Practice address
- 35A Guy Lombardo Ave
Freeport, NY 11520 - Phone
- (516) 546-6709
- Fax
- (516) 546-0189
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doris Ortiz, DDS
- Title
- Dentist & Owner
- Phone
- (516) 546-6709
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
35A Guy Lombardo Ave
Freeport, NY 11520
Mailing address
35A Guy Lombardo Ave
Freeport, NY 11520
Phone (516) 546-6709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01177628 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
35A Guy Lombardo Ave
Freeport, NY 11520
Phone (516) 546-6709
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Freeport, NY
- NPI 1972578904
-
- General Practice Dentistry
- Freeport, NY
- NPI 1245856269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433462400000",
"number": "1700057650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35A GUY LOMBARDO AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "11520",
"telephone_number": "516-546-6709",
"fax_number": "516-546-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35A GUY LOMBARDO AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "11520",
"telephone_number": "516-546-6709",
"fax_number": "516-546-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTIZ DENTAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2015-06-05",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "DORIS",
"authorized_official_title_or_position": "DENTIST & OWNER",
"authorized_official_telephone_number": "516-546-6709",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01177628",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.