Active NPI
Raul A Ortiz Rodriguez, D.M.D.
- Dentist
- Sarasota, FL
National Provider Identifier
1851585327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2790
- Practice address
- 1515 S Osprey Ave Ste A2
Sarasota, FL 34239-2918 - Phone
- (941) 366-0474
- Fax
- (941) 366-0292
- NPI assigned
- Aug 28, 2007
- Last updated
- Aug 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2790 | PR | Primary |
Addresses
Primary practice location
1515 S Osprey Ave Ste A2
Sarasota, FL 34239-2918
Mailing address
1515 S Osprey Ave Ste A2
Sarasota, FL 34239-2918
Phone (941) 366-0474
Other practice location 1
Jardines de Ponce D F4
Ponce, PR 00730-1845
Phone (787) 615-2631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181206002555 | FL | Order and Referring Only - Dentist | 8325356082 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2790 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TDN Dentistry, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1851585327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 S OSPREY AVE STE A2",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392918",
"telephone_number": "941-366-0474",
"fax_number": "941-366-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S OSPREY AVE STE A2",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392918",
"telephone_number": "941-366-0474",
"fax_number": "941-366-0292"
}
],
"practiceLocations": [
{
"address_1": "Jardines de Ponce D F4",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "007301845",
"country_code": "US",
"telephone_number": "787-615-2631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ RODRIGUEZ",
"first_name": "RAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
- Orthodontics of Lakewood Ranch LLP
- Orthomed Pain Relief Centers, LLC (OrthoMed Pain & Sports Medicine)
- Orthopaedic Center of Southwest Florida, PLLC (Sforzo Dillingham Stewart Orthopedics and Sports Medicine)
- Orthotic & Prosthetic Centers, Inc. (Orthotic & Prosthetic Center of Sarasota)
- Karla Ortiz Rodriguez
- Edwin M Ortiz, MD
- Hernando Arturo Ortiz, OMD
- Lizzmar C Ortiz
- Mary I Ortiz, MSN, ARNP
- Sandra Ortiz, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.