Organization Active NPI

Thomas a. Moryl, D.D.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Warsaw, IN
National Provider Identifier
1336212471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
THOMAS A. MORYL, D.D.S., INC.
Practice address
850 Provident Dr
Warsaw, IN 46580-3250
Phone
(574) 269-3621
Fax
(574) 269-1436
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas A Moryl, D.D.S.NPI 1598838625
Title
President
Phone
(574) 269-3621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

850 Provident Dr
Warsaw, IN 46580-3250

Mailing address

850 Provident Dr
Warsaw, IN 46580-3250
Phone (574) 269-3621

National Provider Directory

National Provider Directory

Locations

850 Provident Dr
Warsaw, IN 46580
Phone (574) 269-3621

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336212471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PROVIDENT DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803250",
            "telephone_number": "574-269-3621",
            "fax_number": "574-269-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PROVIDENT DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803250",
            "telephone_number": "574-269-3621",
            "fax_number": "574-269-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. MORYL, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORYL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-269-3621",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.