Jordan Morsberger, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS040969 Issued in PA

Practice address

554 Keily Street
Bureau of Medicine and Surgery CCPD
Jacksonville, FL 32212

Phone

(757) 953-7011

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1528514304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 KEILY STREET",
            "address_2": "BUREAU OF MEDICINE AND SURGERY CCPD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 KEILY STREET",
            "address_2": "BUREAU OF MEDICINE AND SURGERY CCPD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSBERGER",
        "first_name": "JORDAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kerry Morrissey, M.D.
• Kristen Ann Morroni, A.R.N.P.
• Aaron Patrick Morrow, IDC
• Victoria Christine Morrow, PTA
• William S Morrow, MD
• Ryan Joseph Morse, MD
• Suzan Magda Fawad Morshed
• Monica Mortensen, D.O.
• Ariel M Mortera, PHYSICAL THERAPIST
• Justin Michael Mortimer, MD

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.