Active NPI
Edythe Michelle Morgan, DDS
- Dentist
- De-Soto, TX
National Provider Identifier
1396804647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17214
- Practice address
- 303 E. Pleasant Run Road
De-Soto, TX 75115-0000 - Phone
- (972) 224-2020
- Fax
- (972) 224-2282
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17214 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 17214 | TX |
Addresses
Primary practice location
303 E. Pleasant Run Road
De-Soto, TX 75115-0000
Mailing address
8122 San Cristobal Dr
Dallas, TX 75218-4430
Phone (214) 321-8954
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 |
|---|---|---|---|
| 17214 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Dentistry | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Desoto, TX
- NPI 1104102110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1396804647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8122 SAN CRISTOBAL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184430",
"telephone_number": "214-321-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E. PLEASANT RUN ROAD",
"city": "DE-SOTO",
"state": "TX",
"postal_code": "751150000",
"telephone_number": "972-224-2020",
"fax_number": "972-224-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "EDYTHE",
"middle_name": "MICHELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "17214",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De-Soto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.