Jared Fortman, DDS

ActiveIndividual ProviderDentistry
NPI issued: October 4, 2006

Quick Facts

NPI Number
1922193838
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223E0200X — Dentistry
Phone
(707) 527-9170
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1922193838)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 4, 2006)
Data source: CMS NPPES

Provider Overview

JARED FORTMAN, DDS is a Dentistry provider based in Santa Rosa, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1922193838
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateOctober 4, 2006

Practice Location

CitySanta Rosa
StateCA
ZIP Code95405
Phone(707) 527-9170

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223E0200X
License StateCA

Mailing Address

CitySanta Rosa
StateCA
ZIP Code95405
Phone(707) 527-9170
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1922193838 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1922193838for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1922193838 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
9,201
Dentistry Providers in the US

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People Also Ask

What is Jared Fortman's NPI number?
Jared Fortman's NPI number is 1922193838, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jared Fortman's NPI currently active?
Yes, Jared Fortman's NPI status is Active as of the latest CMS NPPES database updates.
What does Jared Fortman specialize in?
Jared Fortman specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223E0200X.
Where does Jared Fortman practice?
Jared Fortman practices in Santa Rosa, CA 95405.
When was Jared Fortman's NPI issued?
Jared Fortman's NPI was issued on October 4, 2006.
What is Jared Fortman's provider type?
Jared Fortman is registered as an Individual Provider under CMS NPI Type 1.