Active NPI
Mark Kent Morley, D.D.S.
- Dentist
- Garden Grove, CA
National Provider Identifier
1952434441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40281
- Practice address
- 12777 Valley View St
Suite #151
Garden Grove, CA 92845-2507 - Phone
- (714) 897-1089
- Fax
- (714) 892-4492
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40281 | CA | Primary |
Addresses
Primary practice location
12777 Valley View St
Suite #151
Garden Grove, CA 92845-2507
Mailing address
12777 Valley View St
Suite #151
Garden Grove, CA 92845-2507
Phone (714) 897-1089
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40281 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952434441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12777 VALLEY VIEW ST",
"address_2": "SUITE #151",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452507",
"telephone_number": "714-897-1089",
"fax_number": "714-892-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12777 VALLEY VIEW ST",
"address_2": "SUITE #151",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452507",
"telephone_number": "714-897-1089",
"fax_number": "714-892-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLEY",
"first_name": "MARK",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, 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.