Organization Active NPI

Jose Ortiz Dental Corp

  • Dental Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1730947136
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSE ORTIZ DENTAL CORP
Practice address
2701 Ocean Park Blvd Ste 110
Santa Monica, CA 90405-5217
Phone
(424) 428-0008
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Mr. Jose Enrique Ortiz, DMDNPI 1528350519
Title
Ceo
Phone
(424) 428-0008

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2701 Ocean Park Blvd Ste 110
Santa Monica, CA 90405-5217

Mailing address

2701 Ocean Park Blvd Ste 110
Santa Monica, CA 90405-5217
Phone (424) 428-0008

Other names 1

  • Alinea Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2701 Ocean Park Blvd
Ste 110
Santa Monica, CA 90405
Phone (310) 392-0025

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1730947136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055217",
            "telephone_number": "424-428-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055217",
            "telephone_number": "424-428-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE ORTIZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-428-0008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alinea Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alinea Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.