Organization Active NPI

Morris S Minton MD Faad PA

  • Dermatology Physician
  • Camden, ME
National Provider Identifier
1124667191
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MORRIS S MINTON MD FAAD PA
Practice address
87 Elm St Ste 104a
Camden, ME 04843-1963
Phone
(207) 230-8400
Fax
(207) 430-8611
NPI assigned
Dec 23, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Morris S Minton, MD
Title
Owner
Phone
(707) 291-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

87 Elm St Ste 104a
Camden, ME 04843-1963

Mailing address

87 Elm St Ste 104a
Camden, ME 04843-1963
Phone (207) 230-8400

National Provider Directory

National Provider Directory

Locations

87 Elm St
Ste 104A
Camden, ME 04843
Phone (207) 230-8400

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1124667191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ELM ST STE 104A",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431963",
            "telephone_number": "207-230-8400",
            "fax_number": "207-430-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ELM ST STE 104A",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431963",
            "telephone_number": "207-230-8400",
            "fax_number": "207-430-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS S MINTON MD FAAD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "MINTON",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-291-3415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.