Active NPI
Dahlia Morello, DDS
- Dentist
- Kalamazoo, MI
National Provider Identifier
1124126339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019150
- Practice address
- 2030 Portage St
Kalamazoo, MI 49001-3836 - Phone
- (616) 349-0888
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 | 2901019150 | MI | Primary |
Addresses
Primary practice location
2030 Portage St
Kalamazoo, MI 49001-3836
Mailing address
1427 Valley Lake Dr Apt 223
Schaumburg, IL 60195-3629
Phone (989) 739-7927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4901883 | Medicaid | MI |
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 |
|---|---|---|---|
| 2901019150 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1124126339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 VALLEY LAKE DR APT 223",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953629",
"telephone_number": "989-739-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 PORTAGE ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490013836",
"telephone_number": "616-349-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELLO",
"first_name": "DAHLIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4901883",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.