Todd J. Morton DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015434 Issued in MO

Legal business name

TODD J. MORTON DMD, PC

Practice address

485 Wildwood Parkway
Suite 2
Ballwin, MO 63011

Phone

(636) 227-5422

Fax

(636) 227-4992

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Morton, DMD

Title

Ceo

Phone

(636) 227-5422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1255535043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 WILDWOOD PARKWAY",
            "address_2": "SUITE 2",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-227-5422",
            "fax_number": "636-227-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILDWOOD PARKWAY",
            "address_2": "SUITE 2",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-227-5422",
            "fax_number": "636-227-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD J. MORTON DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-227-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ballwin, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.