Active NPI
Northern Oral & Maxillofacial Surgeons, PA
- Oral and Maxillofacial Surgery (Dentist)
- Superior, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA
- Practice address
- 503 Belknap St
Superior, WI 54880-2932 - Phone
- (715) 564-4081
- Fax
- (715) 564-4083
- NPI assigned
- Jan 12, 2007
- Last updated
- Feb 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Lee Morse, D.D.S.
- Title
- Oral Surgeon
- Phone
- (218) 722-8377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | Primary |
Addresses
Primary practice location
503 Belknap St
Superior, WI 54880-2932
Mailing address
503 Belknap St
Superior, WI 54880-2932
Phone (715) 564-4081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38393500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060327000243 | WI | Part B Supplier - Clinic/Group Practice | 3072535863 |
Receives reassigned benefits from 7 practitioners Practice locations: Superior, WI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Oral and Maxillofacial Surgery (Dentist)
- Duluth, MN
- NPI 1457401820
3072535863
National Provider Directory
National Provider Directory- Tax ID family
- Northern Oral Maxillofacial Surgeons PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Duluth, MN
- NPI 1457401820
-
- Oral and Maxillofacial Surgery (Dentist)
- Hibbing, MN
- NPI 1588715163
Locations
3899 Highway 73
Ste 6
Hibbing, MN 55746
Phone (218) 293-0691
1419 Beaser Ave
Ashland, WI 54806
Phone (715) 682-2660
503 Belknap St
Superior, WI 54880
Phone (715) 564-4081
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Duluth, MN
- NPI 1598146763
Oral and Maxillofacial Surgery, WI
-
- Oral and Maxillofacial Surgery (Dentist)
- La Crosse, WI
- NPI 1144587551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1013068691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 BELKNAP ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548802932",
"telephone_number": "715-564-4081",
"fax_number": "715-682-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 BELKNAP ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548802932",
"telephone_number": "715-564-4081",
"fax_number": "715-564-4083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN ORAL & MAXILLOFACIAL SURGEONS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "MORSE",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "ORAL SURGEON",
"authorized_official_telephone_number": "218-722-8377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38393500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Superior, WI
- Karen Wyse Niedermier, APRN, CNP
- Deborah Ann Noble-Olson, MACCCSLP
- Amanda Kay Nordgren, AU.D.
- Crystal M Norris, SAC-IT
- North Country Independent Living
- Northwest Counseling & Guidance Clinic (Northwest Journey - Northern Lights)
- Northwest Counseling and Guidance - Northwest Journey - Superior
- Northwest Wisconsin Community Services Agency Inc.
- Susan Nowak, PTA
- NSH Superior LLC (Twin Ports Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.