Active NPI
Devin Morin, DMD
- Pediatric Dentistry
- Spokane, WA
National Provider Identifier
1861927675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D-5073-PD
- Practice address
- 6501 N Cedar Rd BLDG 2
Spokane, WA 99208-4571 - Phone
- (509) 312-3200
- NPI assigned
- Apr 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE60976645 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | D-5073-PD | ID | Primary |
Addresses
Primary practice location
6501 N Cedar Rd BLDG 2
Spokane, WA 99208-4571
Mailing address
1110 E Silver Pine Rd
Colbert, WA 99005-5125
Phone (502) 712-9561
Other practice location 1
701 25th Ave S Ste 400
Minneapolis, MN 55454-1443
Phone (612) 659-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191007002298 | WA | Order and Referring Only - Dentist | 3173854148 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-5073-PD | ID | MD | Pediatric Dentist |
| DE60976645 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cda Kids Dentistry PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Coeur D Alene, ID
- NPI 1689346736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1861927675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 E SILVER PINE RD",
"city": "COLBERT",
"state": "WA",
"postal_code": "990055125",
"telephone_number": "502-712-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 N CEDAR RD BLDG 2",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992084571",
"telephone_number": "509-312-3200"
}
],
"practiceLocations": [
{
"address_1": "701 25th Ave S Ste 400",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541443",
"country_code": "US",
"telephone_number": "612-659-4900",
"fax_number": "612-659-4901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORIN",
"first_name": "DEVIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE60976645",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "ID",
"license": "D-5073-PD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.