NPIMap

Organization Active NPI

Gerald L Muncy D.D.S.

Doing business as Morenci Dental Clinic

  • Dental Clinic/Center
  • Morenci, AZ
National Provider Identifier
1801441027
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GERALD L MUNCY D.D.S.
Doing business as
Morenci Dental Clinic
Practice address
106 Plaza Loop Suite #11
Morenci, AZ 85540
Phone
(928) 865-2332
Fax
(928) 865-1218
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Mrs. Leah Reyes
Title
Front Office
Phone
(928) 865-2332

Specialties & licenses 1

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

Addresses

Primary practice location

106 Plaza Loop Suite #11
Morenci, AZ 85540

Mailing address

PO Box 99
Morenci, AZ 85540-0099
Phone (928) 865-2332

Other names 1

  • Morenci Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1801441027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "855400099",
            "telephone_number": "928-865-2332",
            "fax_number": "928-865-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA LOOP SUITE #11",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "85540",
            "telephone_number": "928-865-2332",
            "fax_number": "928-865-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD L MUNCY D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "928-865-2332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morenci Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morenci, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.