Active NPI
Richard E Morgan III, DMD
- Dentist
- McCalla, AL
National Provider Identifier
1588927503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5921
- Practice address
- 4817 McAdory School Rd
Suite 105
MC Calla, AL 35111-3452 - Phone
- (205) 428-0007
- Fax
- (205) 428-0085
- NPI assigned
- Jun 25, 2012
- Last updated
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5921 | AL | Primary |
Addresses
Primary practice location
4817 McAdory School Rd
Suite 105
MC Calla, AL 35111-3452
Mailing address
4817 McAdory School Rd
Suite 105
MC Calla, AL 35111-3452
Phone (205) 428-0007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631259223 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5921 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custom Dentures P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- McCalla, AL
- NPI 1386916682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1588927503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4817 MCADORY SCHOOL RD",
"address_2": "SUITE 105",
"city": "MC CALLA",
"state": "AL",
"postal_code": "351113452",
"telephone_number": "205-428-0007",
"fax_number": "205-428-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4817 MCADORY SCHOOL RD",
"address_2": "SUITE 105",
"city": "MC CALLA",
"state": "AL",
"postal_code": "351113452",
"telephone_number": "205-428-0007",
"fax_number": "205-428-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "631259223",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in McCalla, AL
- Mills Pharmacy at McCalla Inc (Mills Pharmacy at McCalla)
- Rachel Mims, LMT
- Mind Over Matter Counseling, LLC
- Alina Mitchell
- MJB MD LLC
- Tyler Musick, DPT
- Imari Joycea Nalls, MSN, RN, AGACNP, RNC
- Kisha D Nettles-Tippins, RN
- Premier Business Development Corporation (Serenity Place)
- Premise Health of Alabama Medical PC (Smucker McCalla Health and Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.