Morgan Elizabeth Brockhouse, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019035331 Issued in IL

Practice address

1001 Illini Dr
East Peoria, IL 61611-1883

Phone

(309) 948-5524

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1154167203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 SYCAMORE",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719467",
            "telephone_number": "309-573-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ILLINI DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111883",
            "telephone_number": "309-948-5524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 W Camp St",
            "address_purpose": "LOCATION",
            "city": "East Peoria",
            "state": "IL",
            "postal_code": "616117218",
            "country_code": "US",
            "telephone_number": "309-213-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKHOUSE",
        "first_name": "MORGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Blue, PHARMD
• Amelia Boncu
• John A Brackney
• Kmisha Brand, RN, MSN, FNP-BC
• Bravo Care of East Peoria Inc (Rosewood Care Center of East Peoria)
• Dustin Brooks
• Reka Brooks
• Dustin Robert Brown, PT, DPT, ATC, LAT
• Rachel Brunetto
• Robert David Buechner, DC

• General Practice Dentistry in East Peoria, IL
• Providers in East Peoria, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.