Individual provider Active NPI

Morghan Elizabeth Teeters, D.M.D.

  • Pediatric Dentistry
  • Peoria, AZ
National Provider Identifier
1649558578
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8255 Issued in AZ
Practice address
7505 W. Deer Valley Rd
Suite 110
Peoria, AZ 85382
Phone
(623) 572-5777
Fax
(623) 572-7288
NPI assigned
Jul 26, 2011
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 8255 AZ Primary

Addresses

Primary practice location

7505 W. Deer Valley Rd
Suite 110
Peoria, AZ 85382

Mailing address

702 E Bell Rd Ste 120
Phoenix, AZ 85022-6639
Phone (602) 867-7700

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morghan E. Teeters DMD, PLLC Pediatric Dentistry CurrentSince Dec 22, 2019 Accepting new patients
An Elegant Smile, P.C. General Practice Past Accepting new patients
Kidz R Kool Pediatric Dentistry PastSince Dec 22, 2019 Accepting new patients

Locations

7505 W Deer Valley Rd
Ste 110
Peoria, AZ 85382
Phone (623) 572-5777

Organizations & group practices 3

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1649558578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E BELL RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-867-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 W. DEER VALLEY RD",
            "address_2": "SUITE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-572-5777",
            "fax_number": "623-572-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETERS",
        "first_name": "MORGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "8255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.