Active NPI
Jonathan David Morgan, D.D.S.
- General Practice Dentistry
- Evanston, WY
National Provider Identifier
1801966874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1104
- Practice address
- 1595 State Highway 150 S
Suite 107a
Evanston, WY 82930-5350 - Phone
- (307) 789-5210
- Fax
- (307) 789-5123
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1104 | WY | Primary |
Addresses
Primary practice location
1595 State Highway 150 S
Suite 107a
Evanston, WY 82930-5350
Mailing address
1595 State Highway 150 S
Suite 107a
Evanston, WY 82930-5350
Phone (307) 789-5210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312817 | Other | WY | BCBS OF WYOMING |
| 1600260 | Other | WY | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 1104 | WY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrowhead Dental -Ad, LLC | General Practice | Past | Accepting new patients |
| Jonathan Morgan DDS, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801966874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 STATE HIGHWAY 150 S",
"address_2": "SUITE 107A",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305350",
"telephone_number": "307-789-5210",
"fax_number": "307-789-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 STATE HIGHWAY 150 S",
"address_2": "SUITE 107A",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305350",
"telephone_number": "307-789-5210",
"fax_number": "307-789-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WYOMING",
"identifier": "312817",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1600260",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- 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.