Organization Active NPI

William R. Morgan DDS, Inc

  • Dentist
  • Jonesboro, AR
National Provider Identifier
1841259140
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2216 Issued in AR
Legal business name
WILLIAM R. MORGAN DDS, INC
Doing business as
TMJ AND FACIAL PAIN CENTER
Practice address
1107 E Matthews Ave
Suite 101
Jonesboro, AR 72401-4315
Phone
(870) 932-8657
Fax
(870) 932-8671
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
William Russell Morgan, D.D.S.
Title
President
Phone
(870) 932-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2216 AR Primary

Addresses

Primary practice location

1107 E Matthews Ave
Suite 101
Jonesboro, AR 72401-4315

Mailing address

1107 E Matthews Ave
Suite 101
Jonesboro, AR 72401-4315
Phone (870) 932-8657

Other names 1

  • TMJ AND FACIAL PAIN CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1107 E Matthews Ave
Ste 101
Jonesboro, AR 72401
Phone (870) 932-8657

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1841259140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE",
            "address_2": "SUITE 101",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "870-932-8657",
            "fax_number": "870-932-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE",
            "address_2": "SUITE 101",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "870-932-8657",
            "fax_number": "870-932-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. MORGAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-932-8657",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMJ AND FACIAL PAIN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.