Morgan Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60172604 Issued in WA

Legal business name

MORGAN FAMILY DENTAL

Practice address

19810 Old Highway 99 SW
Suite #1
Rochester, WA 98579-8684

Phone

(360) 870-7063

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Reid Morgan, DDSNPI 1750694329

Title

Dr/Owner

Phone

(425) 350-7292

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Reid Morgan, D.D.S.

  • Dentist
  • Rochester, WA
  • NPI 1750694329
  NPD (past) Authorized official

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1316212020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 KIRSOP LN SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985127916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19810 OLD HIGHWAY 99 SW",
            "address_2": "SUITE #1",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985798684",
            "telephone_number": "360-870-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "425-350-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60172604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE DENTAL",
            "identifier": "2518403",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009765",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Maden, LMP
• Chad Allen Martin, CHIROPRACTOR
• Bobbi Joy McNealy
• Kathryn R Meckle, CCC
• Ashley Miraldi
• Nathan Reid Morgan, D.D.S.
• N W Pediatric Center Inc P S
• Darren Michael Nealis, LICSW
• Courtney Jeanette Oliver, COTA/L, RBT/CBT
• Options Consulting, PLLC

• General Practice Dentistry in Rochester, WA
• Providers in Rochester, 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 Mar 13, 2012; 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.