Marshall Wade Morgan, DDS MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11839 Issued in TX

Practice address

1213 Ranch Road 620 S Ste 205
Lakeway, TX 78734-6347

Phone

(512) 341-2321

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1316160930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 RANCH ROAD 620 S STE 205",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346347",
            "telephone_number": "512-341-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 RANCH ROAD 620 S STE 205",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346347",
            "telephone_number": "512-341-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MARSHALL",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "11839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Moghaddam Rad, D.M.D
• Safi Momin, DPT
• Weronika Monaco
• Melissa Moore, MA, LMFT
• Todd L Moore, D.C.
• Steven Mark Morgan, DDS
• Jack Gregory Morper, M.D.
• Mozdbar Eyecare PLLC
• Sima Taj Mozdbar, OD
• MPN2 Pharmacy MGT LLC

• Periodontics in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.