Philippe Morisseau, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2270 Issued in RI

Practice address

1051 Ten Rod Rd
Unit 5
North Kingstown, RI 02852-4163

Phone

(401) 295-5511

NPI assigned

Jan 24, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780739581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POTTER RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521646",
            "telephone_number": "401-884-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 TEN ROD RD",
            "address_2": "UNIT 5",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524163",
            "telephone_number": "401-295-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISSEAU",
        "first_name": "PHILIPPE",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2270",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mocha Momma LLC
• Lori Mollo
• Pamela Morelli, LICSW
• Erica A Morga, APRN
• Laurie Morgan
• Cody Morris, PH.D., BCBA-D
• Meghan Noelle Morrissey, PHARMD, RPH
• Barbara C Mottinger, MSN, RN, PCNS
• Joset Navach Munro, LICSW
• Deirdre Murphy, LICSW

• General Practice Dentistry in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.