Individual provider Active NPI

Michael E Morton, DDS DENTIST

  • Dentist
  • Kenai, AK
National Provider Identifier
1831223494
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
996 Issued in AK
Practice address
395 Main Street Loop
Kenai, AK 99611-7727
Phone
(907) 283-7759
Fax
(907) 283-4883
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 996 AK Primary

Addresses

Primary practice location

395 Main Street Loop
Kenai, AK 99611-7727

Mailing address

395 Main Street Loop
Kenai, AK 99611-7727
Phone (907) 283-7759

Other identifiers 1

IdentifierTypeStateIssuer
1003766MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20170614001528 AK Order and Referring Only - DentistPractitioner - Dentist 0749558872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
996AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Peninsula Community Health Services of Alaska, Inc. Dentist PastSince Jul 24, 2022 Accepting new patients
Seldovia Village Tribe Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmorton@direct.scf.cc

Organizations & group practices 3

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831223494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 MAIN STREET LOOP",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117727",
            "telephone_number": "907-283-7759",
            "fax_number": "907-283-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MAIN STREET LOOP",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117727",
            "telephone_number": "907-283-7759",
            "fax_number": "907-283-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "DDS DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003766",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.