Organization Active NPI

Ortiz Dental Inc

  • General Practice Dentistry
  • Oceanside, CA
National Provider Identifier
1770980930
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52444 Issued in CA
Legal business name
ORTIZ DENTAL INC
Practice address
1910 Mission Ave Ste D
Oceanside, CA 92058-7129
Phone
(760) 757-5037
Fax
(760) 757-5199
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Dr. Martin Ortiz Oliveros, DDS
Title
President
Phone
(760) 757-5037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 52444 CA Primary

Addresses

Primary practice location

1910 Mission Ave Ste D
Oceanside, CA 92058-7129

Mailing address

1910 Mission Ave Ste D
Oceanside, CA 92058-7129
Phone (760) 757-5037

Other identifiers 1

IdentifierTypeStateIssuer
1225435928OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1770980930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MISSION AVE STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587129",
            "telephone_number": "760-757-5037",
            "fax_number": "760-757-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MISSION AVE STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587129",
            "telephone_number": "760-757-5037",
            "fax_number": "760-757-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTIZ DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "ORTIZ OLIVEROS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-757-5037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225435928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.