NPIMap

Organization Active NPI

William J Morse Family Dentistry Inc.

  • General Practice Dentistry
  • St Augustine, FL
National Provider Identifier
1205878071
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2755 Issued in FL
Legal business name
WILLIAM J MORSE FAMILY DENTISTRY INC.
Practice address
2199 A1A S
St Augustine, FL 32080-6513
Phone
(904) 471-3300
Fax
(904) 471-5240
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. William J Morse, DDSNPI 1437187127
Title
Owner
Phone
(904) 471-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2755 FL Primary

Addresses

Primary practice location

2199 A1A S
St Augustine, FL 32080-6513

Mailing address

2199 A1A S
St Augustine, FL 32080-6513
Phone (904) 471-3300

Other identifiers 4

IdentifierTypeStateIssuer
2755OtherFLLICENSE NO
11855OtherFLLICENSE NO
18077OtherFLLICENSES NO
8828OtherFLLICENCES NO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1205878071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806513",
            "telephone_number": "904-471-3300",
            "fax_number": "904-471-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806513",
            "telephone_number": "904-471-3300",
            "fax_number": "904-471-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J MORSE FAMILY DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-471-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "2755",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "11855",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSES NO",
            "identifier": "18077",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCES NO",
            "identifier": "8828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.