Active NPI
Arrowhead Dental -Ad, LLC
- General Practice Dentistry
- Evanston, WY
National Provider Identifier
1508532482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ARROWHEAD DENTAL -AD, LLC
- Practice address
- 50 Arrowhead Dr
Evanston, WY 82930-9243 - Phone
- (307) 789-5210
- NPI assigned
- Aug 19, 2021
- Last updated
- Aug 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Morgan, DDS
- Title
- Owner
- Phone
- (307) 789-5210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
50 Arrowhead Dr
Evanston, WY 82930-9243
Mailing address
50 Arrowhead Dr
Evanston, WY 82930-9243
Phone (307) 789-5210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125569000 | Medicaid | WY | |
| 119553100 | Medicaid | WY | |
| 140937900 | Medicaid | WY |
Other names 1
- 2BrewersandaCanuckDental LLC
National Provider Directory
National Provider DirectoryLocations
50 Arrowhead Dr
Evanston, WY 82930
Phone (307) 288-5346
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.
-
- General Practice Dentistry
- Evanston, WY
- NPI 1801966874
-
- General Practice Dentistry
- Evanston, WY
- NPI 1780663591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1508532482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ARROWHEAD DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309243",
"telephone_number": "307-789-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ARROWHEAD DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309243",
"telephone_number": "307-789-5210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD DENTAL -AD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-19",
"last_updated": "2025-08-05",
"certification_date": "2021-08-19",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-789-5210",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125569000",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119553100",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140937900",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "2BrewersandaCanuckDental LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Evanston, WY
- Kathryn Anderson, PHD
- Tammy D Anderson
- David Arendsee, LCSW
- Jordan Argyle, D.D.S.
- Macayla Caroline Arrington, RN
- Jennifer Mary Arroyo, PHARMD
- Danielle Asay
- William F Atkinson, O.D.
- Auralcare Hearing Centers of America, LLC (My Hearing Centers)
- Auralcare Hearing Centers of America, LLC (My Hearing Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.