Individual provider Active NPI

Morgan K. Strawn, D.M.D.

  • Dentist
  • Wailuku, HI
National Provider Identifier
1639309750
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8453 Issued in SC
Practice address
24 N Church St Ste 206
Wailuku, HI 96793-1606
Phone
(985) 630-1255
NPI assigned
Jul 23, 2009
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8453 SC Primary

Addresses

Primary practice location

24 N Church St Ste 206
Wailuku, HI 96793-1606

Mailing address

24 N Church St Ste 206
Wailuku, HI 96793-1606
Phone (985) 630-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008003621 HI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 8123448362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8453SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan K. Strawn, DMD, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

24 N Church St
Ste 206
Wailuku, HI 96793
Phone (808) 242-0077

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.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1639309750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N CHURCH ST STE 206",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931606",
            "telephone_number": "985-630-1255",
            "fax_number": "803-751-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N CHURCH ST STE 206",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931606",
            "telephone_number": "985-630-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAWN",
        "first_name": "MORGAN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.