Peter W Morita, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D6363 Issued in OR

Practice address

2730 SW Moody Avenue
Portland, OR 97201-5042

Phone

(503) 494-4316

Fax

(503) 494-2365

NPI assigned

Oct 26, 2006

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

Enrolled in OR

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

Practice roles

Locations

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.

• Oregon Health & Science University

  • Clinic/Center
  • Portland, OR
  • NPI 1972688919
  Medicare reassignment
• Oregon Health & Science University

  • Community/Retail Pharmacy
  • Beaverton, OR
  • NPI 1114164381
  NPD
• Oregon Health & Science University

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1609824010
  NPD
• Oregon Health and Science University

  dba OHSU School of Dentistry

  • Dentist
  • Portland, OR
  • NPI 1063596690
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1588749576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17936 SW FREDERICK LN",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971407818",
            "telephone_number": "503-625-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW MOODY AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015042",
            "telephone_number": "503-494-4316",
            "fax_number": "503-494-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITA",
        "first_name": "PETER",
        "middle_name": "W",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Dayne Leonard Morin
• Melanie Morin, LMT
• Ryan E Morin, CNP
• Grace Mitsu Morishita
• Rebecca K Morisse, DMD
• Matthew T Moritz, MD
• Mychelle Moritz, MA, ATR-BC, LPC
• Staci H Moritz, M.A., Q.M.H.P.
• Shinichi Moriyama, L.AC.
• Alexis Morley

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.