NPIMap

Individual provider Active NPI

L. Carlos Morales, DDS, PS

  • Dentist
  • Maple Valley, WA
National Provider Identifier
1669872180
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 00007645 Issued in WA
Practice address
23925 225TH Way SE Ste a
Maple Valley, WA 98038-5233
Phone
(425) 432-0561
Fax
(425) 432-2938
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE 00007645 WA Primary

Addresses

Primary practice location

23925 225TH Way SE Ste a
Maple Valley, WA 98038-5233

Mailing address

23925 225TH Way SE Ste a
Maple Valley, WA 98038-5233
Phone (425) 432-0561

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
DE 00007645WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Dehkordi PLLC Past Accepting new patients
L Carlos Morales DDS PS Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1669872180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23925 225TH WAY SE STE A",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385233",
            "telephone_number": "425-432-0561",
            "fax_number": "425-432-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23925 225TH WAY SE STE A",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385233",
            "telephone_number": "425-432-0561",
            "fax_number": "425-432-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "L. CARLOS",
        "credential": "DDS, PS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 00007645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.