Individual provider Active NPI

William F. Morang, D.M.D.

  • General Practice Dentistry
  • Bogart, GA
National Provider Identifier
1659620193
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014466 Issued in GA
Practice address
1520-A Jennings Mill Rd.
Bogart, GA 30622-2543
Phone
(706) 353-1958
Fax
(706) 353-3939
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
No

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
DN014466GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dental Assoc of NE Ga LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN014466 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

1520-A Jennings Mill Rd.
Bogart, GA 30622-2543

Mailing address

1520-A Jennings Mill Rd.
Bogart, GA 30622-2543
Phone (706) 353-1958

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
DN014466OtherGADENTAL LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2012.

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1659620193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520-A JENNINGS MILL RD.",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222543",
            "telephone_number": "706-353-1958",
            "fax_number": "706-353-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520-A JENNINGS MILL RD.",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222543",
            "telephone_number": "706-353-1958",
            "fax_number": "706-353-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANG",
        "first_name": "WILLIAM",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN014466",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.