Active NPI
Nicklaus Alan Morton, D.D.S, M.S.
- Endodontics
- Concord, CA
National Provider Identifier
1235393273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 59294
- Practice address
- 2991 Treat Blvd
Suite K
Concord, CA 94518-3616 - Phone
- (925) 686-5200
- NPI assigned
- Jul 17, 2008
- Last updated
- Dec 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 59294 | CA | Primary |
| Endodontics | 1223E0200X | RESIDENT PERMIT #677 | FL |
Addresses
Primary practice location
2991 Treat Blvd
Suite K
Concord, CA 94518-3616
Mailing address
355 Berry St
#408
San Francisco, CA 94158-1567
Phone (858) 361-8507
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59294 | CA | MD | Endodontist |
| RESIDENT PERMIT #677 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J. Tancreto, D.D.S., P.C. | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1235393273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 BERRY ST",
"address_2": "#408",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941581567",
"telephone_number": "858-361-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2991 TREAT BLVD",
"address_2": "SUITE K",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183616",
"telephone_number": "925-686-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "NICKLAUS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.D.S, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-17",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "59294",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "RESIDENT PERMIT #677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.