Morgan Gonder

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS0000011182 Issued in TN

Practice address

3615 S Houston Levee Rd Ste 104
Collierville, TN 38017-9173

Phone

(901) 850-5874

NPI assigned

Jun 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gililland Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oxford, MS
  • NPI 1801000609
  NPD (past)
• Go Orthodontics Partnership

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oxford, MS
  • NPI 1356604664
  NPD (past)

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1548610926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551218",
            "telephone_number": "662-234-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S HOUSTON LEVEE RD STE 104",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179173",
            "telephone_number": "901-850-5874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Desert Cv",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388668000",
            "country_code": "US",
            "telephone_number": "662-842-6669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Harper Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388343700",
            "country_code": "US",
            "telephone_number": "662-286-3891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Nail Rd E Unit 2",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386726707",
            "country_code": "US",
            "telephone_number": "662-536-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2408 S LaMar Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555423",
            "country_code": "US",
            "telephone_number": "662-234-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONDER",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "4108-20",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS0000011182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Garmen
• Miriam Ghandi
• Samantha Glaser, M.A., CCC-SLP
• Nicolette Glidden, MD
• Glory Carriers Transportation LLC
• Ambrie Goodman, DMD
• Krystal B Goodwin, APN
• Mary Reid Goodwin
• Sherrie Langston Goodwin, CCC-SLP
• Amber Gosnell

• Orthodontics and Dentofacial Orthopedics Dentistry in Collierville, TN
• Providers in Collierville, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.