Modern Dental of Springfield PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MODERN DENTAL OF SPRINGFIELD PLLC

Practice address

3240 Hedley Rd Ste B
Springfield, IL 62711-6360

Phone

(217) 698-3400

Fax

(217) 698-3410

NPI assigned

Mar 22, 2021

Organization subpart

No

Name

Dr. Michael Allen Morley, DMDNPI 1083793939

Title

Partner

Phone

(217) 698-3400

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Morley, D.M.D.

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1083793939
  NPD (past) Authorized official
• Brian Patrick Hamel, D.M.D.

  • Dentist
  • Springfield, IL
  • NPI 1528441557
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2021.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1013593953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 HEDLEY RD STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116360",
            "telephone_number": "217-698-3400",
            "fax_number": "217-698-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 HEDLEY RD STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116360",
            "telephone_number": "217-698-3400",
            "fax_number": "217-698-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL OF SPRINGFIELD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "MORLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "217-698-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1083793939",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1528441557",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.ident.ws/template_include/new_patient_sign_in.do?site=7451&practiceId=27036",
            "affiliation": "N",
            "endpointDescription": "PHI forms",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure website",
            "address_1": "3240 Hedley Rd Ste B",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627116360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mizani Therapeutic Services, LLC
• Audrianna Mizeur
• Shannon D Moats, RDN, LDN
• Robert Mocharnuk, M.D.
• Adrienne Mocogni
• Sonya Modi, PHARM.D.
• Daniel Joseph Moffett, DDS
• Jay M. Mogerman, LCSW
• Christopher L Mogren, CFNP
• Ahmad Mohamad, M.D

• All providers in Springfield, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.