Individual provider Active NPI

George M Morarasu, DDS

  • General Practice Dentistry
  • Ukiah, CA
National Provider Identifier
1568573327
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11840 Issued in MN
Practice address
620 S Dora St
Suite 202
Ukiah, CA 95482-5466
Phone
(651) 253-8550
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11840 MN Primary
Periodontics 1223P0300X 58222 CA

Addresses

Primary practice location

620 S Dora St
Suite 202
Ukiah, CA 95482-5466

Mailing address

620 S Dora St
Suite 202
Ukiah, CA 95482-5466
Phone (651) 253-8550

Other identifiers 1

IdentifierTypeStateIssuer
540037600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160307001999 CA Order and Referring Only - DentistPractitioner - Dentist 1850398140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58222CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1568573327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S DORA ST",
            "address_2": "SUITE 202",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825466",
            "telephone_number": "651-253-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S DORA ST",
            "address_2": "SUITE 202",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825466",
            "telephone_number": "651-253-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORARASU",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11840",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "58222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540037600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.