Tyler Morgan, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60469714 Issued in WA

Practice address

146 Easy Way
Wenatchee, WA 98801-8108

Phone

(509) 664-5000

NPI assigned

Jun 25, 2014

Last updated

Jun 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

State licenses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1861807042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 EASY WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018108",
            "telephone_number": "509-664-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 EASY WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018108",
            "telephone_number": "509-664-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Jacobi Medical Center",
            "address_2": "1400 Pelham Parkway South",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "718-918-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2573 State HWY 522 Questa Health Center/PMS",
            "address_purpose": "LOCATION",
            "city": "Questa",
            "state": "NM",
            "postal_code": "87556",
            "country_code": "US",
            "telephone_number": "575-586-0315",
            "fax_number": "575-586-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4419",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60469714",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60469714",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Marlen Morgado
• Alec Ellen K Morgan, DC
• Carolin Kaye Morgan, ARNP
• Lisa Marie Morgan, CNM
• Mally Morgan, DPT
• Darbie Morigeau
• Marisa Moritz, MD
• Liam Anthony Morris, MD
• Irene Schomus Morrow, ARNP
• Rodney M Mortensen, PT

• Pediatric Dentistry in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.