Active NPI
Matthew Ortiz, DENTAL HYGIENIST
- Dental Hygienist
- San Antonio, TX
National Provider Identifier
1982118154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 18357
- Practice address
- 5439 Ray Ellison Blvd
San Antonio, TX 78242-2219 - Phone
- (210) 922-7000
- Fax
- (210) 923-7929
- NPI assigned
- Nov 27, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 18357 | TX | Primary |
Addresses
Primary practice location
5439 Ray Ellison Blvd
San Antonio, TX 78242-2219
Mailing address
3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18357 | TX | MD | General Practice Dentistry |
Interoperability endpoints
- matthew.ortiz.p1@direct.centromed.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1982118154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 COMMERCIAL AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782213117",
"telephone_number": "210-922-7000",
"fax_number": "210-923-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5439 RAY ELLISON BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782422219",
"telephone_number": "210-922-7000",
"fax_number": "210-923-7929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "MATTHEW",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-27",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "18357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.