Individual provider Active NPI

Harold W Mohorn, DDS, MS

  • Endodontics
  • Greensboro, NC
National Provider Identifier
1578520797
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5516 Issued in NC
Practice address
1602 Benjamin Pkwy
Greensboro, NC 27408-2015
Phone
(336) 288-0010
Fax
(336) 282-5754
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5516 NC Primary

Addresses

Primary practice location

1602 Benjamin Pkwy
Greensboro, NC 27408-2015

Mailing address

1602 Benjamin Pkwy
Greensboro, NC 27408-2015
Phone (336) 288-0010

Other identifiers 1

IdentifierTypeStateIssuer
8996044MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140617001216 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961626700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5516NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578520797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BENJAMIN PKWY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082015",
            "telephone_number": "336-288-0010",
            "fax_number": "336-282-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 BENJAMIN PKWY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082015",
            "telephone_number": "336-288-0010",
            "fax_number": "336-282-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHORN",
        "first_name": "HAROLD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996044",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.