Organization Active NPI

Morgan Family Dentistry, PLLC

  • General Practice Dentistry
  • Monticello, AR
National Provider Identifier
1124578075
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3750 Issued in AR
Legal business name
MORGAN FAMILY DENTISTRY, PLLC
Practice address
501 Hwy 425 South
Monticello, AR 71655
Phone
(870) 367-1123
NPI assigned
Oct 4, 2016
Organization subpart
Yes
Parent organization
MORGAN FAMILY DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Melissa Meredith, COO
Title
Practice Management Consultant
Phone
(501) 483-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3750 AR Primary

Addresses

Primary practice location

501 Hwy 425 South
Monticello, AR 71655

Mailing address

715 Military Rd
Benton, AR 72015-3310
Phone (501) 483-3939

Other names 1

  • Monticello Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morgan Family Dentistry PLLC2 organizations share this tax ID, including this one
Part of
Morgan Family Dentistry PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

715 Military Rd
Benton, AR 72015
Phone (501) 315-1512

501 Highway 425 S
Monticello, AR 71655
Phone (870) 367-1123

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1124578075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MILITARY RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153310",
            "telephone_number": "501-483-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HWY 425 SOUTH",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORGAN FAMILY DENTISTRY, PLLC",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT CONSULTANT",
        "authorized_official_telephone_number": "501-483-3939",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.