Renettra Angele Morris, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

101216 Issued in CA

Practice address

101 West Coast Rd. #a
Redway, CA 95560-1633

Phone

(707) 923-4313

NPI assigned

Mar 6, 2017

Last updated

Jan 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: renettra.morrisdds.p1@direct.rrhc.nextgenshare.com

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1053851345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 EMPIRE AVE",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "95560",
            "telephone_number": "310-930-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST COAST RD. #A",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "955601633",
            "telephone_number": "707-923-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RENETTRA",
        "middle_name": "ANGELE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Lape, LM, CPM
• Sarah Frances Lippitt Houston, FNP
• Emily Marshall, DO
• Megan McCormack, HYGIENTIST
• Pearl McGinley, L.AC.
• Denise Renee Nelson
• Tiffany Amber Nickens, PA-C
• Anne Njoku, NP
• Kelly Noble, LMFT
• Steve A Norton, D.D.S.

• Dentist in Redway, CA
• Providers in Redway, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.