Active NPI
Nathan Reid Morgan, D.D.S.
- Dentist
- Rochester, WA
National Provider Identifier
1750694329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60172604
- Practice address
- 19810 Old Highway 99 SW
Suite #5
Rochester, WA 98579-8684 - Phone
- (360) 273-1000
- NPI assigned
- Jul 23, 2010
- Last updated
- May 30, 2013
- Sex
- Male
- 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 | DE60172604 | WA | Primary |
Addresses
Primary practice location
19810 Old Highway 99 SW
Suite #5
Rochester, WA 98579-8684
Mailing address
6843 Kirsop LN SW
Olympia, WA 98512
Phone (425) 350-7292
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60172604 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan Family Dental | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Rochester, WA
- NPI 1316212020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1750694329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6843 KIRSOP LN SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98512",
"telephone_number": "425-350-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19810 OLD HIGHWAY 99 SW",
"address_2": "SUITE #5",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "985798684",
"telephone_number": "360-273-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "NATHAN",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-23",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60172604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.