Philip Morton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3370 Issued in AR

Practice address

617 Fayetteville Rd
Van Buren, AR 72956-3418

Phone

(479) 474-9696

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Arkansas Dental Professionals, Mongrain, P.a

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1275841900
  NPD (past)
• Arkansas Dental Professionals, Mongrain, P.a.

  • General Practice Dentistry
  • Van Buren, AR
  • NPI 1396803722
  NPD (past)
• Philip S. Morton Family Dentistry, PLLC

  • Dentist
  • Cedarville, AR
  • NPI 1871917625
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831257245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729563418",
            "telephone_number": "479-474-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729563418",
            "telephone_number": "479-474-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Michelle Moore
• Ricardo Jesus Morales
• Bethany Anne Morris, MOT, OTR/L
• Mary Beth Morris, SLP
• Pamela D. Morrison, M.ED., CCC-SLP
• Chelsea Lee Mosby
• Autumn Murray
• Heather Mutters, APRN
• Lisa Mutters
• Carter Myers

• General Practice Dentistry in Van Buren, AR
• Providers in Van Buren, AR by specialty
• General Practice Dentistry in Arkansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.