Active NPI
Raymond Gerard Morin, DMD
- Public Health Dentistry
- Beaufort, SC
National Provider Identifier
1134104649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 0401005738
- Practice address
- 1 Pinckney Blvd
Naval Hospital Beaufort Attn Professional Affairs Coord
Beaufort, SC 29902-6148 - Phone
- (843) 228-5577
- Fax
- (843) 228-5196
- NPI assigned
- Dec 8, 2005
- Last updated
- Feb 3, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 0401005738 | VA | Primary |
Addresses
Primary practice location
1 Pinckney Blvd
Naval Hospital Beaufort Attn Professional Affairs Coord
Beaufort, SC 29902-6148
Mailing address
1 Pinckney Blvd
Naval Hospital Beaufort Attn Professional Affairs Coord
Beaufort, SC 29902-6148
Phone (843) 228-5577
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 |
|---|---|---|---|
| 0401005738 | VA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1134104649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"address_2": "NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026148",
"telephone_number": "843-228-5577",
"fax_number": "843-228-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"address_2": "NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026148",
"telephone_number": "843-228-5577",
"fax_number": "843-228-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "RAYMOND",
"middle_name": "GERARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "VA",
"license": "0401005738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
- Moore Surgical and Women's Healthcare Associates, PA
- Kendall Moore, PHD
- Penelope Hatcher Moore, LPN
- Mallorie D Morelock
- William Clayton Morgan Jr., DDS
- Morningside of Beaufort, LLC (Morningside of Beaufort)
- Abigail Bailey Morris, RPH
- Melissa Ann Morris, PA-C
- Tanisha Morris, MA
- Theresa Ann Morris, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.