Mark Ortega D.D.S., Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MARK ORTEGA D.D.S., INC

Practice address

5175 E Pacific Coast Hwy Ste 204
Long Beach, CA 90804-3315

Phone

(323) 804-5391

NPI assigned

Sep 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Ortega, DDSNPI 1194111369

Title

President

Phone

(323) 804-5931

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Steven Ortega, DDS

  • Pediatric Dentistry
  • Long Beach, CA
  • NPI 1194111369
  NPD Authorized official
• William John Worden, D.D.S.

  • Pediatric Dentistry
  • Long Beach, CA
  • NPI 1235227836
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1720702129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY STE 204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043315",
            "telephone_number": "562-597-2448",
            "fax_number": "562-597-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY STE 204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043315",
            "telephone_number": "323-804-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ORTEGA D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-804-5931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario I. Brakin, M.D., F.a.a.P., Inc
• Mario O. Lopez, M.D, Inc,
• Mario San Bartolome, MD, Mba, a Professional Corporation
• Marion Shanker, MFT
• Mark J. Meckes, DDS, Inc.
• Mercedes Marquise Mark
• Lauralee Ann Markley, MFT
• Michelle R Markowitz, M.S., CCC-SLP
• Kimberly Suzanne Marks, PT, DPT
• Michele M Marks, LMFT

• Pediatric Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.