Individual provider Active NPI

Chelsea Ann Morini, D.D.S.

  • Dentist
  • Amsterdam, NY
National Provider Identifier
1811280878
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
055876 Issued in NY
Practice address
6 Mohawk PL
Amsterdam, NY 12010-4306
Phone
(518) 843-2191
Fax
(518) 842-6040
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14590 MD
Dentist 122300000X 055876 NY Primary

Addresses

Primary practice location

6 Mohawk PL
Amsterdam, NY 12010-4306

Mailing address

6 Mohawk PL
Amsterdam, NY 12010-4306
Phone (518) 843-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405002359 NY Order and Referring Only - DentistPractitioner - Dentist 6305144403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14590MDMDDentist
055876NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1811280878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOHAWK PL",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104306",
            "telephone_number": "518-843-2191",
            "fax_number": "518-842-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MOHAWK PL",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104306",
            "telephone_number": "518-843-2191",
            "fax_number": "518-842-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORINI",
        "first_name": "CHELSEA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14590",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.