Individual provider Active NPI

Lawrence Morgan Moranda, D.D.S., M. DENT. SC.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palm Desert, CA
National Provider Identifier
1912917808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
48750 Issued in CA
Practice address
73211 Fred Waring Dr Ste 201
Palm Desert, CA 92260-2871
Phone
(760) 568-5987
Fax
(760) 776-1826
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 48750 CA Primary

Addresses

Primary practice location

73211 Fred Waring Dr Ste 201
Palm Desert, CA 92260-2871

Mailing address

73211 Fred Waring Dr Ste 201
Palm Desert, CA 92260-2871
Phone (760) 568-5987

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Craine, Schantz & Moranda Orthodontics and Dentofacial Orthopedics Past 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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912917808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 201",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-568-5987",
            "fax_number": "760-776-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR STE 201",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-568-5987",
            "fax_number": "760-776-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORANDA",
        "first_name": "LAWRENCE",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M. DENT. SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.