Individual provider Active NPI

Brian Samuel Morningstar, DDS

  • Dentist
  • Bay Village, OH
National Provider Identifier
1497180889
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023939 Issued in OH
Practice address
660 Dover Center Rd
Bay Village, OH 44140-2376
Phone
(330) 899-7950
Fax
(440) 899-0124
NPI assigned
Sep 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.023939 OH Primary

Addresses

Primary practice location

660 Dover Center Rd
Bay Village, OH 44140-2376

Mailing address

660 Dover Center Rd
Bay Village, OH 44140-2376
Phone (440) 899-7950

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

LicenseStateTypeSpecialty
30.023939OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David J Francati DDS Sherry L Waters DDS LLC Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1497180889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 DOVER CENTER RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402376",
            "telephone_number": "440-899-7950",
            "fax_number": "440-899-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 DOVER CENTER RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402376",
            "telephone_number": "330-899-7950",
            "fax_number": "440-899-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNINGSTAR",
        "first_name": "BRIAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.