Individual provider Active NPI

Dennilyn Joyce Sarsozo Morell, DDS

  • Dentist
  • Jbphh, HI
National Provider Identifier
1679059422
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11076 Issued in NC
Practice address
15 MDG
755 Scott Circle
Jbphh, HI 96853-5399
Phone
(808) 443-6371
NPI assigned
Jul 16, 2018
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618000727 NC Order and Referring Only - DentistPractitioner - 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

Verify at the official NPI Registry.