Organization Active NPI

Peder B Morse DDS, PA

  • General Practice Dentistry
  • Duluth, MN
National Provider Identifier
1235305707
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11825 Issued in MN
Legal business name
PEDER B MORSE DDS, PA
Practice address
306 W Superior St
Suite 601
Duluth, MN 55802-1803
Phone
(218) 727-2349
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Ms. Becci Ann Swanstrom
Title
Business Administrator
Phone
(218) 727-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D11825 MN Primary

Addresses

Primary practice location

306 W Superior St
Suite 601
Duluth, MN 55802-1803

Mailing address

306 W Superior St
Suite 601
Duluth, MN 55802-1803
Phone (218) 727-2349

Other identifiers 2

IdentifierTypeStateIssuer
1245309921OtherMNNPI
1548339237OtherMNNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1235305707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST",
            "address_2": "SUITE 601",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021803",
            "telephone_number": "218-727-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST",
            "address_2": "SUITE 601",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021803",
            "telephone_number": "218-727-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDER B MORSE DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SWANSTROM",
        "authorized_official_first_name": "BECCI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "218-727-2349",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245309921",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548339237",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.