Joseph Mounir Morcos, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

64229 Issued in CA

Practice address

1125 Idlewood Rd
Glendale, CA 91202-2008

Phone

(818) 653-3616

NPI assigned

Feb 21, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1134426521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 IDLEWOOD RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 IDLEWOOD RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022008",
            "telephone_number": "818-653-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCOS",
        "first_name": "JOSEPH",
        "middle_name": "MOUNIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-21",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "64229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Morales, PSYD, LP
• Fatima Moran-Hernandez
• Jaime Benjamin Moran Jr., MD
• Melanie Knapp Moran, PH.D.
• Cesar A Morataya Jr.
• Ricardo Agustin Morelli, D.C.
• Grace Elizabeth Moreno
• Victoria Moreno
• Morgan Welebir, M.D., Inc.
• Abigail Morgan, L.AC.

• Periodontics in Glendale, CA
• Providers in Glendale, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.