Meredith Eileen Morgan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100374 Issued in CA

Practice address

878 Walnut St
San Luis Obispo, CA 93401-2725

Phone

(805) 541-0550

NPI assigned

Aug 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Meredith Eileen Bruch Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

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.

• Leopold & Murphy PC

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1770652927
  NPD (past)
• Sylvie M Galerneau, DMD

  • Dentist
  • San Mateo, CA
  • NPI 1780739086
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1740736230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 WALNUT ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012725",
            "telephone_number": "805-541-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 WALNUT ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012725",
            "telephone_number": "805-541-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MEREDITH",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "BRUCH",
            "middle_name": "EILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Kathleen Moreno, OTR/L, CHT, PAMS
• Samuel Joseph Moreno
• Sandra Ann Moreno
• Scott Anthony Morey Jr., M.D.
• Ixchel Morfin
• Ronald G Morgan, M.D.
• Stephanie L Morgan
• Terry Drew Morgan
• Belinda Morrill, PH.D.
• Desda Marie Morris, LMFT

• General Practice Dentistry in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.