Active NPI
Laura Supak Morgan, DDS
- Dentist
- Waxahachie, TX
National Provider Identifier
1659388346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17118
- Practice address
- 104 Professional Place
Waxahachie, TX 75165 - Phone
- (972) 938-1688
- Fax
- (972) 937-3420
- NPI assigned
- Aug 2, 2006
- Last updated
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17118 | TX | Primary |
Addresses
Primary practice location
104 Professional Place
Waxahachie, TX 75165
Mailing address
104 Professional Place
Waxahachie, TX 75165
Phone (972) 938-1688
Other names 1
- Laura Morgan
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17118 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1659388346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 PROFESSIONAL PLACE",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "75165",
"telephone_number": "972-938-1688",
"fax_number": "972-937-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PROFESSIONAL PLACE",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "75165",
"telephone_number": "972-938-1688",
"fax_number": "972-937-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "LAURA",
"middle_name": "SUPAK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "17118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MORGAN",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.