Individual provider Active NPI

Kathryn Morgan, DMD

  • Dentist
  • Middletown, NY
National Provider Identifier
1649955337
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
065007-01 Issued in NY
Practice address
127 E Main St # 131
Middletown, NY 10940-5118
Phone
(845) 202-2261
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D011845 AZ
Dentist 122300000X 065007-01 NY Primary

Addresses

Primary practice location

127 E Main St # 131
Middletown, NY 10940-5118

Mailing address

127 E Main St # 131
Middletown, NY 10940-5118
Phone (845) 202-2261

Other practice location 1

3440 E Baseline Rd Ste 106
Mesa, AZ 85204-7247
Phone (480) 926-2350

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.

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

LicenseStateTypeSpecialty
D011845AZMDDentist
065007-01NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Modern Dentistry, LLP Past Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1649955337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST # 131",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405118",
            "telephone_number": "845-202-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST # 131",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405118",
            "telephone_number": "845-202-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 E Baseline Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852047247",
            "country_code": "US",
            "telephone_number": "480-926-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KATHRYN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011845",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "065007-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.