JARED R FORTMAN DDS
NPI 1922193838
Dentist - Endodontics in Santa Rosa, CA

Active since October 04, 2006
1100 SONOMA AVE, STE B, SANTA ROSA, CA 95405(707) 527-9170(707) 527-0255 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jared R Fortman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED R FORTMAN DDS (NPI 1922193838) is an individual endodontics provider in Santa Rosa, California, licensed in California (51826) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1922193838
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJARED R FORTMANCredential: DDS
Location Address1100 SONOMA AVE, STE BSanta Rosa, CA 95405
Mailing Address1100 Sonoma Ave, Ste BSanta Rosa, CA 95405 · (707) 527-9170 · Fax (707) 527-0255
Fax(707) 527-0255
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 5, 2008
✔ NPI 1922193838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 51826
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1100 SONOMA AVE, Santa Rosa, CA 95405

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1100 SONOMA AVE, C3
SANTA ROSA, CA 95405
Dentist (General Practice)
1100 SONOMA AVE, SUITE E
SANTA ROSA, CA 95405
Dentist
1100 SONOMA AVE, SUITE A
SANTA ROSA, CA 95405
Dentist
1100 SONOMA AVE, SUITE A
SANTA ROSA, CA 95405
Dentist (General Practice)
1100 SONOMA AVE, SUITE C-1
SANTA ROSA, CA 95405
Dentist (Periodontics)
1100 SONOMA AVE, SUITE D
SANTA ROSA, CA 95405
Clinic/Center (Dental)
1100 SONOMA AVE, SUITE A2
SANTA ROSA, CA 95405
Dentist (General Practice)
1100 SONOMA AVE, SUITE E
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Fortman's NPI number?

The NPI number for Jared Fortman is 1922193838. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jared Fortman located?

Jared Fortman practices at 1100 Sonoma Ave Ste B, Santa Rosa, CA 95405. The listed phone number is (707) 527-9170.

What is Jared Fortman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Jared Fortman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Jared Fortman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Fortman was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.