Active NPI
Morgan Habetz
- Dentist
- Hammond, LA
National Provider Identifier
1992183420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6558
- Practice address
- 1109 C M Fagan Dr
Unit P
Hammond, LA 70403-5973 - Phone
- (985) 622-5522
- NPI assigned
- May 17, 2015
- Sex
- Female
- 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 | 6558 | LA | Primary |
Addresses
Primary practice location
1109 C M Fagan Dr
Unit P
Hammond, LA 70403-5973
Mailing address
1109 C M Fagan Dr
Unit P
Hammond, LA 70403-5973
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431820800000",
"number": "1992183420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 C M FAGAN DR",
"address_2": "UNIT P",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704035973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 C M FAGAN DR",
"address_2": "UNIT P",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704035973",
"telephone_number": "985-622-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABETZ",
"first_name": "MORGAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-17",
"last_updated": "2015-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.