Individual provider Active NPI

Monte D Morgan, DMD

  • Dentist
  • Salem, OR
National Provider Identifier
1114912490
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6503 Issued in OR
Practice address
160 Ramsgate SQ S
Suite 150
Salem, OR 97302-5876
Phone
(503) 362-7869
Fax
(503) 362-5034
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6503 OR Primary

Addresses

Primary practice location

160 Ramsgate SQ S
Suite 150
Salem, OR 97302-5876

Mailing address

160 Ramsgate SQ S
Suite 150
Salem, OR 97302-5876
Phone (503) 362-7869

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corey Bickler, DMD, LLC PastSince Apr 9, 2023 Accepting new patients
Monte D. Morgan D.M.D., P.C. Dentist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1114912490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RAMSGATE SQ S",
            "address_2": "SUITE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025876",
            "telephone_number": "503-362-7869",
            "fax_number": "503-362-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RAMSGATE SQ S",
            "address_2": "SUITE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025876",
            "telephone_number": "503-362-7869",
            "fax_number": "503-362-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MONTE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.