Individual provider Active NPI

Ana Maria Ortiz, DDM

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1982807541
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17095 Issued in FL
Practice address
1497 Forest Hill Blvd
Suite 4B
West Palm Beach, FL 33406-6052
Phone
(561) 964-4699
Fax
(561) 965-8437
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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 17095 FL Primary

Addresses

Primary practice location

1497 Forest Hill Blvd
Suite 4B
West Palm Beach, FL 33406-6052

Mailing address

21251 SW 88TH PL
Miami, FL 33189-3791
Phone (305) 233-8183

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222001456 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4688979198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17095FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ana.ortiz.p1@direct.azahealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1982807541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21251 SW 88TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331893791",
            "telephone_number": "305-233-8183",
            "fax_number": "305-971-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 FOREST HILL BLVD",
            "address_2": "SUITE 4B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066052",
            "telephone_number": "561-964-4699",
            "fax_number": "561-965-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.