Active NPI
Lindsay Ortman, D.M.D
- Dentist
- Kirtland AFB, NM
National Provider Identifier
1992294961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010096
- Practice address
- 2050A 2ND St SE
Kirtland AFB, NM 87117-5901 - Phone
- (505) 846-3200
- NPI assigned
- May 5, 2018
- Last updated
- May 2, 2024
- Sex
- Female
- 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 | D010096 | AZ | Primary |
Addresses
Primary practice location
2050A 2ND St SE
Kirtland AFB, NM 87117-5901
Mailing address
3278 Mitchell Blvd BLDG 900
Moody AFB, GA 31699-1500
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 |
|---|---|---|---|
| D010096 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | 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.
-
dba Midwestern University Dental Institute
- Dental Clinic/Center
- Glendale, AZ
- NPI 1164744009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1992294961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3278 MITCHELL BLVD BLDG 900",
"city": "MOODY AFB",
"state": "GA",
"postal_code": "316991500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050A 2ND ST SE",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871175901",
"telephone_number": "505-846-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTMAN",
"first_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-05",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirtland AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.