Active NPI
Morgan E McClellan, DDS
- Dentist
- Port Orchard, WA
National Provider Identifier
1609163773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60575899
- Practice address
- 1953 Pottery Ave
Port Orchard, WA 98366-2558 - Phone
- (360) 876-6211
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901020427 | MI | |
| Dentist | 122300000X | DE60575899 | WA | Primary |
Addresses
Primary practice location
1953 Pottery Ave
Port Orchard, WA 98366-2558
Mailing address
1953 Pottery Ave
Port Orchard, WA 98366-2558
Phone (360) 876-6211
Other practice location 1
1647 Admiral Taussig Blvd
Norfolk, VA 23511
Phone (757) 953-7011
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020427 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bock and Hutchinson, PLLC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Port Orchard, WA
- NPI 1144570003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1609163773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1953 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662558",
"telephone_number": "360-876-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1953 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662558",
"telephone_number": "360-876-6211"
}
],
"practiceLocations": [
{
"address_1": "1647 ADMIRAL TAUSSIG BLVD",
"address_purpose": "LOCATION",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23511",
"country_code": "US",
"telephone_number": "757-953-7011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "MORGAN",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901020427",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60575899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.