Individual provider Active NPI

Carol S. Morales, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1649539305
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034800 Issued in NY
Practice address
40 West 135TH Street
Ste 1E
New York, NY 10037-2530
Phone
(212) 281-5500
Fax
(212) 281-5501
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 034800 NY Primary

Addresses

Primary practice location

40 West 135TH Street
Ste 1E
New York, NY 10037-2530

Mailing address

40 West 135TH Street
Ste 1E
New York, NY 10037-2530
Phone (212) 281-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160621000706 NY Order and Referring Only - DentistPractitioner - Dentist 4486945573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034800NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1649539305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WEST 135TH STREET",
            "address_2": "STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372530",
            "telephone_number": "212-281-5500",
            "fax_number": "212-281-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WEST 135TH STREET",
            "address_2": "STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372530",
            "telephone_number": "212-281-5500",
            "fax_number": "212-281-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "CAROL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.