Active NPI
Mark F Morozumi, D.D.S.
- Dentist
- Weslaco, TX
National Provider Identifier
1053987396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37814
- Practice address
- 1901 W Expy 83 Ste 800
Weslaco, TX 78596-4348 - Phone
- (956) 277-2414
- NPI assigned
- May 27, 2021
- Last updated
- Nov 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37814 | TX | Primary |
Addresses
Primary practice location
1901 W Expy 83 Ste 800
Weslaco, TX 78596-4348
Mailing address
1901 W Expy 83 Ste 800
Weslaco, TX 78596-4348
Phone (956) 277-2414
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37814 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1053987396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W EXPY 83 STE 800",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964348",
"telephone_number": "956-277-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W EXPY 83 STE 800",
"city": "WESLACO",
"state": "TX",
"postal_code": "785964348",
"telephone_number": "956-277-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOROZUMI",
"first_name": "MARK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-11-17",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.