Individual provider Active NPI

Devin Morin, DMD

  • Pediatric Dentistry
  • Spokane, WA
National Provider Identifier
1861927675
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D-5073-PD Issued in ID
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

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002298 WA Order and Referring Only - DentistPractitioner - Dentist 3173854148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-5073-PDIDMDPediatric Dentist
DE60976645WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cda Kids Dentistry PLLC CurrentSince Oct 5, 2021 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.

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

Verify at the official NPI Registry.