James C. Morgenroth, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5001046-015 Issued in WI

Practice address

13500 W Capitol Dr
Suite 103
Brookfield, WI 53005-2444

Phone

(262) 790-9322

Fax

(262) 790-9323

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1730176439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "262-790-9322",
            "fax_number": "262-790-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 W CAPITOL DR",
            "address_2": "SUITE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052444",
            "telephone_number": "262-790-9322",
            "fax_number": "262-790-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGENROTH",
        "first_name": "JAMES",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001046-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33538100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Moreno Esparza
• Isabella Moreno
• Amy Morgan-Tautges, LCSW
• Kaidihn Morgan
• Tracy L Morgan, RN
• Elena Nikolayevna Morozova, M.D.
• Lucas Morrical
• Jared Morrow
• John E Moser, DDS
• Lori Ann Moss, PT

• Dentist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.

Verify at the official NPI Registry.