Individual provider Active NPI

Mario Morcos

  • Dentist
  • Aurora, CO
National Provider Identifier
1881459741
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00206033 Issued in CO
Practice address
12357 E Cornell Ave # 10
Aurora, CO 80014-3323
Phone
(303) 337-5800
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00206033 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

12357 E Cornell Ave # 10
Aurora, CO 80014-3323

Mailing address

12357 E Cornell Ave # 10
Aurora, CO 80014-3323
Phone (303) 337-5800

Other practice location 1

3736 Oak Forest Dr
Toledo, OH 43614-3441
Phone (419) 464-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00206033COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1881459741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12357 E CORNELL AVE # 10",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-337-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12357 E CORNELL AVE # 10",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-337-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3736 Oak Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436143441",
            "country_code": "US",
            "telephone_number": "419-464-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORCOS",
        "first_name": "MARIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00206033",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.