Active NPI
Dennilyn Joyce Sarsozo Morell, DDS
- Dentist
- Jbphh, HI
National Provider Identifier
1679059422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11076
- Practice address
- 15 MDG
755 Scott Circle
Jbphh, HI 96853-5399 - Phone
- (808) 443-6371
- NPI assigned
- Jul 16, 2018
- Last updated
- May 26, 2022
- 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 | 11076 | NC | Primary |
Addresses
Primary practice location
15 MDG
755 Scott Circle
Jbphh, HI 96853-5399
Mailing address
538 River St
Hampton, VA 23669-3116
Phone (910) 724-4918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618000727 | NC | Order and Referring Only - Dentist | 9032620885 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1679059422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 RIVER ST",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236693116",
"telephone_number": "910-724-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MDG",
"address_2": "755 SCOTT CIRCLE",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "808-443-6371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELL",
"first_name": "DENNILYN JOYCE",
"middle_name": "SARSOZO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2022-05-26",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbphh, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.