Miguel Roman Morales, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

S7-85 Issued in NV

Practice address

10960 S Eastern Ave Ste 112
Henderson, NV 89052-4974

Phone

(702) 485-5455

Fax

(702) 485-5464

NPI assigned

May 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Damon D Webber DDS Inc

  • Dental Clinic/Center
  • Torrance, CA
  • NPI 1528469798
  NPD (past)

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

{
    "created_epoch": "1400976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1104238120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 LATINA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127221",
            "telephone_number": "310-795-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10960 S EASTERN AVE STE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524974",
            "telephone_number": "702-485-5455",
            "fax_number": "702-485-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "MIGUEL",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-25",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "62314",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-85",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Mora
• Vahid Moradi Gheisvandi
• Blesilda Guillar Morales
• Cheris Morales
• Martha Rubi Morales
• Miya Morales
• Reychelle Chasity Morales, APRN
• Sergio Morales
• Luisa Moralez
• Maritza Moralez

• Endodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.