Individual provider Active NPI

Deborah L Morgan, D.D.S.

  • General Practice Dentistry
  • Cardiff, CA
National Provider Identifier
1841508199
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35526 Issued in CA
Practice address
2041 Newcastle Ave
Cardiff, CA 92007-1762
Phone
(760) 753-6633
Fax
(760) 753-6659
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35526 CA Primary

Addresses

Primary practice location

2041 Newcastle Ave
Cardiff, CA 92007-1762

Mailing address

2041 Newcastle Ave
Cardiff, CA 92007-1762
Phone (760) 753-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160328001356 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608173141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35526CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1841508199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 NEWCASTLE AVE",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071762",
            "telephone_number": "760-753-6633",
            "fax_number": "760-753-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 NEWCASTLE AVE",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071762",
            "telephone_number": "760-753-6633",
            "fax_number": "760-753-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff, CA

Sources for this page

Verify at the official NPI Registry.