Individual provider Active NPI

Charmaine Ivette Ortiz, D.M.D.

  • General Practice Dentistry
  • Altamonte Springs, FL
National Provider Identifier
1841316767
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13829 Issued in FL
Practice address
225 S Westmonte Dr
#2070
Altamonte Springs, FL 32714-4279
Phone
(407) 682-6474
Fax
(407) 682-0901
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN13829 FL Primary

Addresses

Primary practice location

225 S Westmonte Dr
#2070
Altamonte Springs, FL 32714-4279

Mailing address

225 S Westmonte Dr . #2070
Altamonte Springs, FL 32714-4279
Phone (407) 682-6474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN13829FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Charmaine I. Ortiz, Corp General Practice CurrentSince Jul 21, 2024 Accepting new patients
Classic Dental at Maitland LLC Past Accepting new patients
Limited to Endodontics, LLC PastSince Feb 1, 2024 Accepting new patients

Locations

225 S Westmonte Dr
Ste 2070
Altamonte Springs, FL 32714
Phone (407) 682-6474

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1841316767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S WESTMONTE DR . #2070",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144279",
            "telephone_number": "407-682-6474",
            "fax_number": "407-682-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S WESTMONTE DR",
            "address_2": "#2070",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144279",
            "telephone_number": "407-682-6474",
            "fax_number": "407-682-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CHARMAINE",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-03-29",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.