Individual provider Active NPI

Thu-Nga H Ortega, DDS

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1992090948
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401008583 Issued in VA
Practice address
10721 Main St Ste 2200
Fairfax, VA 22030-6906
Phone
(703) 352-3900
Fax
(703) 352-2048
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

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
0401008583VAMDGeneral Practice Dentistry

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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 0401008583 VA Primary

Addresses

Primary practice location

10721 Main St Ste 2200
Fairfax, VA 22030-6906

Mailing address

10721 Main St Ste 2200
Fairfax, VA 22030-6906
Phone (703) 352-3900

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1992090948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 2200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306906",
            "telephone_number": "703-352-3900",
            "fax_number": "703-352-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 2200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306906",
            "telephone_number": "703-352-3900",
            "fax_number": "703-352-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "THU-NGA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.