Active NPI
Logan Lee Morse, D.D.S.
- General Practice Dentistry
- Manhattan, KS
National Provider Identifier
1366739401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60832
- Practice address
- 1133 College Ave
Suite D202
Manhattan, KS 66502-2964 - Phone
- (785) 539-7401
- Fax
- (785) 776-8415
- NPI assigned
- Jul 8, 2011
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60832 | KS | Primary |
Addresses
Primary practice location
1133 College Ave
Suite D202
Manhattan, KS 66502-2964
Mailing address
1133 College Ave
Suite D202
Manhattan, KS 66502-2964
Phone (785) 539-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150601001943 | KS | Order and Referring Only - Oral Surgery | 5496076572 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1366739401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 COLLEGE AVE",
"address_2": "SUITE D202",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022964",
"telephone_number": "785-539-7401",
"fax_number": "785-776-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 COLLEGE AVE",
"address_2": "SUITE D202",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022964",
"telephone_number": "785-539-7401",
"fax_number": "785-776-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "LOGAN",
"middle_name": "LEE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "60832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.