Individual provider Active NPI

Morgan White Wyrosdick, DDS

  • General Practice Dentistry
  • Ocean Springs, MS
National Provider Identifier
1982278677
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4398-23 Issued in MS
Practice address
6819 Washington Ave Ste C
Ocean Springs, MS 39564-2181
Phone
(228) 215-1202
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4398-23 MS Primary

Addresses

Primary practice location

6819 Washington Ave Ste C
Ocean Springs, MS 39564-2181

Mailing address

12529 Alphabet Rd
Gulfport, MS 39503-7033

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

LicenseStateTypeSpecialty
4398-23MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
RMW DMD, PA General Practice CurrentSince Oct 29, 2023 Accepting new patients
Middlecoff Dental Group PLLC PastSince May 1, 2021 Accepting new patients

Locations

6819 Washington Ave
Ste C
Ocean Springs, MS 39564
Phone (228) 215-1202

Organizations & group practices 2

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1982278677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12529 ALPHABET RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395037033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 WASHINGTON AVE STE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642181",
            "telephone_number": "228-215-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYROSDICK",
        "first_name": "MORGAN",
        "middle_name": "WHITE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4398-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.