Organization Active NPI

Jeffrey D Morgan DMD PS

  • Dentist
  • Kennewick, WA
National Provider Identifier
1255886487
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEFFREY D MORGAN DMD PS
Doing business as
GRANDRIDGE DENTAL
Practice address
7103 W Grandridge Blvd Ste G
Kennewick, WA 99336-6713
Phone
(509) 737-1800
Fax
(509) 734-9448
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Jeffrey Morgan
Title
Owner
Phone
(509) 737-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7103 W Grandridge Blvd Ste G
Kennewick, WA 99336-6713

Mailing address

7103 W Grandridge Blvd Ste G
Kennewick, WA 99336-6713

Other names 1

  • GRANDRIDGE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

7103 W Grandridge Blvd
Ste G
Kennewick, WA 99336
Phone (509) 737-1800

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1255886487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 W GRANDRIDGE BLVD STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 W GRANDRIDGE BLVD STE G",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366713",
            "telephone_number": "509-737-1800",
            "fax_number": "509-734-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D MORGAN DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-737-1800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANDRIDGE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.