Active NPI
Kevin Richard Morich, D.M.D.
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1962596411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7954
- Practice address
- 5331 SW Macadam Ave
Suite # 254
Portland, OR 97239-6104 - Phone
- (503) 245-9702
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7954 | OR | Primary |
Addresses
Primary practice location
5331 SW Macadam Ave
Suite # 254
Portland, OR 97239-6104
Mailing address
5331 SW Macadam Ave
Suite # 254
Portland, OR 97239-6104
Phone (503) 245-9702
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 |
|---|---|---|---|
| D7954 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macadam Dental | General Practice | 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.
-
- General Practice Dentistry
- Portland, OR
- NPI 1386811719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1962596411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5331 SW MACADAM AVE",
"address_2": "SUITE # 254",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396104",
"telephone_number": "503-245-9702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5331 SW MACADAM AVE",
"address_2": "SUITE # 254",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396104",
"telephone_number": "503-245-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORICH",
"first_name": "KEVIN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D7954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.