NPIMap

Organization Active NPI

Poole and Willis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Logan, UT
National Provider Identifier
1942683214
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
POOLE AND WILLIS ORTHODONTICS
Practice address
1340 N 600 E Ste 2
Logan, UT 84341-2475
Phone
(435) 753-0462
Fax
(435) 753-7011
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Dr. Morris L Poole, DDSNPI 1194023473
Title
Orthodontist
Phone
(435) 753-0462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1340 N 600 E Ste 2
Logan, UT 84341-2475

Mailing address

1340 N 600 E Ste 2
Logan, UT 84341-2475
Phone (435) 753-0462

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1942683214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N 600 E STE 2",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412475",
            "telephone_number": "435-753-0462",
            "fax_number": "435-753-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N 600 E STE 2",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412475",
            "telephone_number": "435-753-0462",
            "fax_number": "435-753-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE AND WILLIS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "435-753-0462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.