Jeffrey D Morgan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008427 Issued in WA

Practice address

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

Phone

(509) 737-1800

Fax

(509) 734-3448

NPI assigned

Nov 16, 2006

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeffrey D Morgan DMD PS

  dba Grandridge Dental

  • Dentist
  • Kennewick, WA
  • NPI 1255886487
  Authorized official Same address or phone
• Quirt, Mongrain, Gibree, P.C.

  dba Grandridge Dental

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1750122644
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1275606543",
    "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": "99336",
            "telephone_number": "509-737-1800",
            "fax_number": "509-734-3448"
        },
        {
            "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": "509-734-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID#",
            "identifier": "743058536",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Isabel Moreno
• Oscar Moreno
• Kelly Colleen Morey, LMP
• Maricela Morga
• Aurora Dawn Morgan, LMP
• Tyler Morgan
• Beth Morris
• Kirk Thomas Morris, DDS
• Alexis Paige Morrison
• David S Morrison, M.D.

• General Practice Dentistry in Kennewick, WA
• Providers in Kennewick, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.