Active NPI
Mark E Morison, D.D.S.
- Endodontics
- Kingsport, TN
National Provider Identifier
1003097627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS003952
- Practice address
- 1258 E Center St
Kingsport, TN 37660-4947 - Phone
- (423) 247-3171
- Fax
- (423) 247-3172
- NPI assigned
- Nov 26, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS003952 | TN | Primary |
Addresses
Primary practice location
1258 E Center St
Kingsport, TN 37660-4947
Mailing address
1258 E Center St
Kingsport, TN 37660-4947
Phone (423) 247-3171
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 |
|---|---|---|---|
| DS003952 | TN | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1003097627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 E CENTER ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604947",
"telephone_number": "423-247-3171",
"fax_number": "423-247-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 E CENTER ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604947",
"telephone_number": "423-247-3171",
"fax_number": "423-247-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORISON",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "DS003952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.