Individual provider Active NPI

Daniel Morgan, DDS

  • Pediatric Dentistry
  • San Bernardino, CA
National Provider Identifier
1336391994
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
56331 Issued in CA
Practice address
225 W Hospitality LN Ste 104
San Bernardino, CA 92408-3244
Phone
(909) 554-3754
Fax
(909) 554-3752
NPI assigned
Oct 15, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 56331 CA Primary

Addresses

Primary practice location

225 W Hospitality LN Ste 104
San Bernardino, CA 92408-3244

Mailing address

2130 Hill CT
Colton, CA 92324-9512
Phone (626) 353-9685

Other practice location 1

11092 Anderson Street
LLU School of Dentistry
Loma Linda, CA 92350-0001
Phone (909) 558-4613

Other practice location 2

11092 Anderson Street
LLU School of Dentistry
Loma Linda, CA 92350-0001
Phone (909) 558-4613

Other identifiers 1

IdentifierTypeStateIssuer
56331OtherCASTATE LICENSE

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

LicenseStateTypeSpecialty
56331CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Morgan, DDS, Inc. Pediatric Dentistry Past Accepting new patients
Daniel Morgan DDS Inc II Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336391994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HILL CT",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249512",
            "telephone_number": "626-353-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083244",
            "telephone_number": "909-554-3754",
            "fax_number": "909-554-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11092 Anderson Street",
            "address_2": "LLU School of Dentistry",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923500001",
            "country_code": "US",
            "telephone_number": "909-558-4613",
            "fax_number": "909-558-4192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11092 Anderson Street",
            "address_2": "LLU School of Dentistry",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923500001",
            "country_code": "US",
            "telephone_number": "909-558-4613",
            "fax_number": "909-558-4192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "56331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.