Individual provider Active NPI

Dennis P. Morehart, DDS

  • General Practice Dentistry
  • Enid, OK
National Provider Identifier
1659416808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3404 Issued in OK
Practice address
2411 Heritage TRL
Suite #4
Enid, OK 73703-1639
Phone
(580) 237-2213
Fax
(580) 237-2231
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3404 OK Primary

Addresses

Primary practice location

2411 Heritage TRL
Suite #4
Enid, OK 73703-1639

Mailing address

2411 Heritage TRL
Suite #4
Enid, OK 73703-1639
Phone (580) 237-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20151214001945 OK Order and Referring Only - DentistPractitioner - Dentist 1557662616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3404OKMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659416808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 HERITAGE TRL",
            "address_2": "SUITE #4",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031639",
            "telephone_number": "580-237-2213",
            "fax_number": "580-237-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HERITAGE TRL",
            "address_2": "SUITE #4",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031639",
            "telephone_number": "580-237-2213",
            "fax_number": "580-237-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHART",
        "first_name": "DENNIS",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.