Individual provider Active NPI

Timothy Lee Morse, D.D.S.

  • Dentist
  • Duluth, MN
National Provider Identifier
1225264575
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12665 Issued in MN
Practice address
3617 W Arrowhead Rd
Duluth, MN 55811-4132
Phone
(218) 722-8377
Fax
(218) 722-3117
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7227 WI
Dentist 122300000X D12665 MN Primary

Addresses

Primary practice location

3617 W Arrowhead Rd
Duluth, MN 55811-4132

Mailing address

3617 W Arrowhead Rd
Duluth, MN 55811-4132
Phone (218) 722-8377

Other practice location 1

750 E 34th St
Hibbing, MN 55746-2341
Phone (218) 362-6222

Other practice location 2

1419 Beaser Ave
Ashland, WI 54806-3616
Phone (715) 682-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130612000025 MN Practitioner - Maxillofacial Surgery 0547409179 Reassigns benefits to 1 organization
I20141006000781 WI Practitioner - Maxillofacial Surgery 0547409179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
University of Minnesota School of Dentistry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Northern Oral and Maxillofacial Surgeons PAGroup PAC ID 3072535863, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

3617 W Arrowhead Rd
Duluth, MN 55811-4132
Phone (218) 722-8377

503 Belknap St
Superior, WI 54880-2932
Phone (715) 564-4081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oral & Maxillofacial Surgeons, PA Current Accepting new patients
Northern Oral & Maxillofacial Surgeons, PA CurrentSince May 5, 2014 Accepting new patients
Northern Oral & Maxillofacial Surgeons, PA CurrentSince Jun 1, 2014 Accepting new patients
Dakota Valley Oral and Maxillofacial Surgery, PLLC PastSince Sep 1, 2002 Accepting new patients

Locations

3617 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 722-4484

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

3899 Highway 73
Ste 6
Hibbing, MN 55746
Phone (218) 293-0691

1419 Beaser Ave
Ashland, WI 54806
Phone (715) 682-2660

503 Belknap St
Superior, WI 54880
Phone (715) 564-4081

Organizations & group practices 4

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1225264575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114132",
            "telephone_number": "218-722-8377",
            "fax_number": "218-722-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114132",
            "telephone_number": "218-722-8377",
            "fax_number": "218-722-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557462341",
            "country_code": "US",
            "telephone_number": "218-362-6222",
            "fax_number": "218-362-6223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1419 Beaser Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548063616",
            "country_code": "US",
            "telephone_number": "715-682-2660",
            "fax_number": "715-682-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORSE",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7227",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.