Individual provider Active NPI

Morgan Horst, DDS

  • Dentist
  • Omaha, NE
National Provider Identifier
1952830531
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7415 Issued in NE
Practice address
5319 N 30TH St
Omaha, NE 68111-1604
Phone
(402) 810-9864
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13851 MN
Dentist 122300000X 7415 NE Primary

Addresses

Primary practice location

5319 N 30TH St
Omaha, NE 68111-1604

Mailing address

115 Drew Ave SE Ste 202
Madelia, MN 56062-1870
Phone (507) 642-8742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20171122001287 NE Practitioner - Oral Surgery 3870863947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13851MNMDGeneral Practice Dentistry
7415NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc. CurrentSince Nov 13, 2017 Accepting new patients
Charles Drew Health Center, Inc CurrentSince Nov 13, 2017 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Locations

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

Interoperability endpoints

  • Direct secure messaging: morgan.freilich.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 3

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1952830531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 DREW AVE SE STE 202",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621870",
            "telephone_number": "507-642-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111604",
            "telephone_number": "402-810-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORST",
        "first_name": "MORGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13851",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.