Morgan D Nordstrom, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61580 Issued in CA

Practice address

1528 Tennessee St
Vallejo, CA 94590-4627

Phone

(707) 643-2660

NPI assigned

Jul 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• William C. Vizzolini, D.D.S., Inc.

  • General Practice Dentistry
  • Vallejo, CA
  • NPI 1316156276
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1376821546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904627",
            "telephone_number": "707-643-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904627",
            "telephone_number": "707-643-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "MORGAN",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Zarate Noces, MD
• Ryan Nock, MD
• Noel a. Fernandez DMD Inc
• Margaret Malig Nonato, PA-C
• Nor Cal Medical Group Inc
• Pamela Norflin
• North Bay Orthopaedic Associates Inc
• North Bay Pediatrics
• Northbay Neonatology Associates, Inc
• Northbay Transit Group Inc.

• Dentist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.

Verify at the official NPI Registry.