Active NPI
Daniel Morgan, DDS
- Pediatric Dentistry
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 56331
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56331 | Other | CA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 56331 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Riverside, CA
- NPI 1730682154
-
- Pediatric Dentistry
- San Bernardino, CA
- NPI 1023409190
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.