Individual provider Active NPI

Joseph Thaddeus Morgan, DMD, PA

  • General Practice Dentistry
  • Lake Mary, FL
National Provider Identifier
1043331200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013869 Issued in FL
Practice address
145 Waymont CT
Lake Mary, FL 32746-6015
Phone
(407) 324-7879
Fax
(407) 324-2427
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0013869 FL Primary

Addresses

Primary practice location

145 Waymont CT
Lake Mary, FL 32746-6015

Mailing address

145 Waymont CT
Lake Mary, FL 32746-6015
Phone (407) 324-7879

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
DN0013869FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J. Thaddeus Morgan D.M.D. General Practice 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043331200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466015",
            "telephone_number": "407-324-7879",
            "fax_number": "407-324-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466015",
            "telephone_number": "407-324-7879",
            "fax_number": "407-324-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JOSEPH",
        "middle_name": "THADDEUS",
        "name_prefix": "Mr.",
        "credential": "DMD, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.