Individual provider Active NPI

Zackyry Tyler Mohorn, D.D.S, M.S.

  • Endodontics
  • Morehead City, NC
National Provider Identifier
1992290035
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
111128 Issued in NC
Practice address
4251 Arendell St
Morehead City, NC 28557-2869
Phone
(252) 240-3636
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 111128 NC Primary

Addresses

Primary practice location

4251 Arendell St
Morehead City, NC 28557-2869

Mailing address

1400 Evans St
Morehead City, NC 28557-4028
Phone (336) 554-5362

Other practice location 1

1602 Benjamin Pkwy Ste A
Greensboro, NC 27408
Phone (336) 288-0010

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
111128NCMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Higgins Mani and Watson VIII DDS PA PastSince Aug 11, 2019 Accepting new patients
Daniel W Driskill DDS PA Past Accepting new patients

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1992290035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EVANS ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574028",
            "telephone_number": "336-554-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572869",
            "telephone_number": "252-240-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Benjamin Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27408",
            "country_code": "US",
            "telephone_number": "336-288-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHORN",
        "first_name": "ZACKYRY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "111128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.