Individual provider Active NPI

Gregory Morra, DDS

  • General Practice Dentistry
  • Scotia, NY
National Provider Identifier
1205910957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035839 Issued in NY
Practice address
214 Mohawk Ave
Scotia, NY 12302-2129
Phone
(518) 377-4431
Fax
(518) 377-0415
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 035839 NY Primary

Addresses

Primary practice location

214 Mohawk Ave
Scotia, NY 12302-2129

Mailing address

214 Mohawk Ave
Scotia, NY 12302-2129
Phone (518) 377-4431

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

LicenseStateTypeSpecialty
035839NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sheryl R Miller MD PLLC PastSince Feb 18, 2020 Accepting new patients
Dr. Jeffrey M. Backer General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gmorra834358@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205910957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MOHAWK AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022129",
            "telephone_number": "518-377-4431",
            "fax_number": "518-377-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MOHAWK AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022129",
            "telephone_number": "518-377-4431",
            "fax_number": "518-377-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRA",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.