Individual provider Active NPI

Meaghan Elizabeth Morrell, D.D.S

  • Dentist
  • Hermantown, MN
National Provider Identifier
1356661516
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13017 Issued in MN
Practice address
4135 Richard Ave Ste 103
Hermantown, MN 55811-2979
Phone
(218) 722-2428
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13017 MN Primary

Addresses

Primary practice location

4135 Richard Ave Ste 103
Hermantown, MN 55811-2979

Mailing address

4135 Richard Ave Ste 103
Hermantown, MN 55811-2979
Phone (218) 722-2428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20210520002010 MN Practitioner - Dentist 2769746643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13017MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Her and Man Town Dental PLLC CurrentSince Dec 21, 2025 Accepting new patients
Lake Superior Dental Associates CurrentSince Jan 1, 2017 Accepting new patients
Sla Dental PLLC Past Accepting new patients
Hearing Wellness Center Past Accepting new patients

Locations

1225 E 1st St
Duluth, MN 55805
Phone (218) 623-7005

4163 Haines Rd
Hermantown, MN 55811
Phone (218) 623-6670

4135 Richard Ave
Ste 103
Hermantown, MN 55811
Phone (218) 722-2428

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1356661516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 RICHARD AVE STE 103",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112979",
            "telephone_number": "218-722-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 RICHARD AVE STE 103",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112979",
            "telephone_number": "218-722-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRELL",
        "first_name": "MEAGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermantown, MN

Sources for this page

Verify at the official NPI Registry.