NPIMap

Organization Active NPI

Morgan Dental Corporation

  • Dental Clinic/Center
  • Anaheim, CA
National Provider Identifier
1053807438
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS50648 Issued in CA
Legal business name
MORGAN DENTAL CORPORATION
Practice address
140 S Fairmont Blvd
Anaheim, CA 92808-1336
Phone
(714) 974-0054
NPI assigned
Jul 9, 2018
Organization subpart
Yes
Parent organization
MORGAN DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Jason H Morgan
Title
Owner Ceo
Phone
(208) 229-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DDS50648 CA Primary

Addresses

Primary practice location

140 S Fairmont Blvd
Anaheim, CA 92808-1336

Mailing address

1803 Ellis Ave
Caldwell, ID 83605-4810
Phone (208) 229-0403

Other names 1

  • California Dental Group of Anaheim Hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morgan Dental Corporation6 organizations share this tax ID, including this one
Part of
Morgan Dental Corporation

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 S Fairmont Blvd
Anaheim, CA 92808
Phone (714) 974-0054

1803 Ellis Ave
Caldwell, ID 83605
Phone (208) 402-5675

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1053807438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 ELLIS AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054810",
            "telephone_number": "208-229-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S FAIRMONT BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081336",
            "telephone_number": "714-974-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORGAN DENTAL CORPORATION",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "208-229-0403"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "DDS50648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Dental Group of Anaheim Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.