Individual provider Active NPI

Deisy Mon Morales, D.D.S.

  • Dentist
  • El Monte, CA
National Provider Identifier
1972760338
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55819 Issued in CA
Practice address
11912 Valley Blvd
Suite a
El Monte, CA 91732-3153
Phone
(626) 442-6500
Fax
(626) 442-6502
NPI assigned
May 21, 2008
Last updated
Jan 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55819 CA Primary

Addresses

Primary practice location

11912 Valley Blvd
Suite a
El Monte, CA 91732-3153

Mailing address

11912 Valley Blvd
Ste. a
El Monte, CA 91732-3153
Phone (626) 442-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160324002132 CA Order and Referring Only - Other (Physician)Practitioner - Oral SurgeryPractitioner - Other (Physician) 3971800541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55819CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Deisy Mon Morales, DDS, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1972760338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 VALLEY BLVD",
            "address_2": "STE. A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323153",
            "telephone_number": "626-442-6500",
            "fax_number": "626-442-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 VALLEY BLVD",
            "address_2": "SUITE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323153",
            "telephone_number": "626-442-6500",
            "fax_number": "626-442-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MON MORALES",
        "first_name": "DEISY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.