Nadgie Ortiz Diaz DMD PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NADGIE ORTIZ DIAZ DMD PLLC

Doing business as

SmileKids Pediatric Dentistry

Practice address

24560 Southpoint Dr Ste 240
Aldie, VA 20105-3505

Phone

(276) 663-3126

Fax

(276) 663-3121

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadgie Ortiz Diaz, DMDNPI 1487712261

Title

Pediatric Dentist Owner

Phone

(276) 663-3126

Specialties & licenses 1

Addresses

Other names 1

• SmileKids Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadgie Ortiz-Diaz, D.M.D.

  • Pediatric Dentistry
  • Toa Baja, PR
  • NPI 1487712261
  NPD Authorized official

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1750998878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 240",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "276-663-3126",
            "fax_number": "276-663-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 240",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "276-663-3126",
            "fax_number": "276-663-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADGIE ORTIZ DIAZ DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ DIAZ",
        "authorized_official_first_name": "NADGIE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST OWNER",
        "authorized_official_telephone_number": "276-663-3126",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileKids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Aldie, VA
• Providers in Aldie, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.