NPIMap

Organization Active NPI

Morgan Dental Corporation

Doing business as California Dental Group of South Anaheim

  • Dental Clinic/Center
  • Anaheim, CA
National Provider Identifier
1801382049
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS50648 Issued in CA
Legal business name
MORGAN DENTAL CORPORATION
Doing business as
California Dental Group of South Anaheim
Practice address
2300 S Harbor Blvd
Anaheim, CA 92802-3518
Phone
(714) 750-3030
NPI assigned
Jul 10, 2018
Organization subpart
Yes
Parent organization
MORGAN DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Jason H Morgan
Title
Owner Ceo
Phone
(208) 229-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DDS50648 CA Primary

Addresses

Primary practice location

2300 S Harbor Blvd
Anaheim, CA 92802-3518

Mailing address

1803 Ellis Ave
Caldwell, ID 83605-4810
Phone (208) 229-0403

Other names 1

  • California Dental Group of South Anaheim Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morgan Dental Corporation6 organizations share this tax ID, including this one
Part of
Morgan Dental Corporation

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2300 S Harbor Blvd
Anaheim, CA 92802
Phone (714) 750-3030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1801382049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 ELLIS AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054810",
            "telephone_number": "208-229-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023518",
            "telephone_number": "714-750-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORGAN DENTAL CORPORATION",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "208-229-0403"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "DDS50648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Dental Group of South Anaheim",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Dental Group of South Anaheim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.