Active NPI
Myron Clinton Morgan Jr., DDS
- General Practice Dentistry
- Utica, NY
National Provider Identifier
1811087083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39202
- Practice address
- 2702 Genesee St
Dental Care Services of NH
Utica, NY 13502 - Phone
- (315) 797-0030
- NPI assigned
- Oct 16, 2006
- Last updated
- Jan 15, 2008
- 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 | 39202 | NY | Primary |
Addresses
Primary practice location
2702 Genesee St
Dental Care Services of NH
Utica, NY 13502
Mailing address
2702 Genesee St
Dental Care Services of NH
Utica, NY 13502
Phone (315) 797-0030
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 |
|---|---|---|---|
| 39202 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Brown DDS PC | General Practice | Past | Accepting new patients |
| Dental Care Services of New Hartford, Ny, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Utica, NY
- NPI 1619153145
-
- General Practice Dentistry
- Utica, NY
- NPI 1225406796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1811087083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 GENESEE ST",
"address_2": "DENTAL CARE SERVICES OF NH",
"city": "UTICA",
"state": "NY",
"postal_code": "13502",
"telephone_number": "315-797-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 GENESEE ST",
"address_2": "DENTAL CARE SERVICES OF NH",
"city": "UTICA",
"state": "NY",
"postal_code": "13502",
"telephone_number": "315-797-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "MYRON",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "39202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.