Van Khanh Morin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

A12012000 Issued in IN

Practice address

530 Plaza Dr Ste J
Columbus, IN 47201-2940

Phone

(812) 376-9335

NPI assigned

Jun 22, 2013

Sex

Female

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

Enrolled in IN

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 and National Provider Directory roles.

• Adam D. Clock, D.D.S., L.L.C.

  dba Tipton Park Dentistry

  • General Practice Dentistry
  • Columbus, IN
  • NPI 1265662217
  NPD (past)

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1326487380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE J",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE J",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012940",
            "telephone_number": "812-376-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "VAN",
        "middle_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "A12012000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsay Moore
• Nicole Sullivan Moore, LCSW
• Samantha Ann Moore
• Kimberlee Sue Moorer, M.S.
• Brittany L Morehead, APRN
• Rebecca S Morone, M.A. CCC-SLP
• Destany Morris, RBT
• Karen L Morris, LCSW
• Kelsi Morris
• Lisa Ann Morris

• General Practice Dentistry in Columbus, IN
• Providers in Columbus, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.