Active NPI
Kayla Morris, DMD
- Dentist
- Waldorf, MD
National Provider Identifier
1306536701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17977
- Practice address
- 2992 Waldorf Market PL
Waldorf, MD 20603-4874 - Phone
- (301) 843-9330
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17977 | MD | Primary |
Addresses
Primary practice location
2992 Waldorf Market PL
Waldorf, MD 20603-4874
Mailing address
1000 S Capitol St SE Apt 211
Washington, DC 20003-5132
Phone (804) 591-5216
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17977 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Dental | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Lutherville, MD
- NPI 1235693805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1306536701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S CAPITOL ST SE APT 211",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200035132",
"telephone_number": "804-591-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2992 WALDORF MARKET PL",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034874",
"telephone_number": "301-843-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KAYLA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.