Alan Edward Moritis, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4652 Issued in WA

Practice address

509 Olive Way
Ste 1520
Seattle, WA 98101-1700

Phone

(206) 682-7900

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1083610158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011700",
            "telephone_number": "206-682-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011700",
            "telephone_number": "206-682-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITIS",
        "first_name": "ALAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "806531",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.S.H.S",
            "identifier": "5531009",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline E. Morin, RD, LDN, CNSC
• Morina Counseling, PC
• Phillip Thomas Morina, MA, LMFT
• Chihiro Morishima, MD
• Michael S Morishima, MD
• Julia Robinson Moritis, DDS
• John Nathan Moritsugu, PH.D.
• Madeleine Deirdre Moritz
• Sarah Mary Moritz, DO
• Marianne Mork, DPT

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.