Active NPI
John Morgan
- Dentist
- Grand Rapids, MI
National Provider Identifier
1437880887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601361
- Practice address
- 3767 28TH St SE
Grand Rapids, MI 49512-1873 - Phone
- (616) 233-2700
- NPI assigned
- Jun 17, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901601361 | MI | Primary |
Addresses
Primary practice location
3767 28TH St SE
Grand Rapids, MI 49512-1873
Mailing address
1462 Lake Dr SE
Grand Rapids, MI 49506-1746
Phone (810) 624-0806
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 |
|---|---|---|---|
| 2901601361 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R Morgan DDS PLC | Current | 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
- Flushing, MI
- NPI 1811859069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1437880887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 LAKE DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061746",
"telephone_number": "810-624-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3767 28TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495121873",
"telephone_number": "616-233-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-17",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.