Organization Active NPI

Elizabeth Morejon, DMD, Ms, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ormond Beach, FL
National Provider Identifier
1396273025
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12420 Issued in FL
Legal business name
ELIZABETH MOREJON, DMD, MS, PA
Practice address
163 Tomoka Ave
Ormond Beach, FL 32174-6348
Phone
(386) 672-4325
NPI assigned
May 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Heather Coleman
Title
Financial Coordinator
Phone
(386) 672-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12420 FL Primary

Addresses

Primary practice location

163 Tomoka Ave
Ormond Beach, FL 32174-6348

Mailing address

163 Tomoka Ave
Ormond Beach, FL 32174-6348
Phone (386) 672-4325

Other practice location 1

7 Boulder Rock Dr
Palm Coast, FL 32137-8546
Phone (386) 447-8444

Other identifiers 1

IdentifierTypeStateIssuer
1194965533OtherFLNPI

National Provider Directory

National Provider Directory

Locations

7 Boulder Rock Dr
Palm Coast, FL 32137
Phone (386) 447-8444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396273025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TOMOKA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746348",
            "telephone_number": "386-672-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 TOMOKA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746348",
            "telephone_number": "386-672-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Boulder Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378546",
            "country_code": "US",
            "telephone_number": "386-447-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH MOREJON, DMD, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "386-672-4325"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "12420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194965533",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.