Brent K Morrill, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9210 Issued in CO

Practice address

451 Rampart Range Rd
Woodland Park, CO 80866

Phone

(719) 687-3131

Fax

(719) 687-2313

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093737421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WESTWOOD TRCE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808631281",
            "telephone_number": "719-686-8255",
            "fax_number": "719-687-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RAMPART RANGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80866",
            "telephone_number": "719-687-3131",
            "fax_number": "719-687-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRILL",
        "first_name": "BRENT",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-States Senior Living LLC
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• Mrs Carols Apothecary
• Jackie L Murphy, LCSW

• General Practice Dentistry in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• General Practice Dentistry in Colorado

• 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.