Organization Active NPI

Melvin R Morrison DDS LTD

  • Specialist
  • Norfolk, VA
National Provider Identifier
1073683769
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
401002480 Issued in VA
Legal business name
MELVIN R MORRISON DDS LTD
Practice address
204 Medical Tower
Norfolk, VA 23507-1901
Phone
(757) 467-8000
Fax
(757) 467-9653
NPI assigned
Nov 9, 2006
Organization subpart
Yes
Parent organization
MELVIN R MORRISON DDS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Mrs. Shannon Mae Jones, CDA
Title
Office Manager Insurance Coordinato
Phone
(757) 467-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 401006550 VA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 401002480 VA Primary

Addresses

Primary practice location

204 Medical Tower
Norfolk, VA 23507-1901

Mailing address

204 Medical Tower
Norfolk, VA 23507-1901
Phone (757) 467-8000

Other identifiers 3

IdentifierTypeStateIssuer
1992730808OtherVANPI
008011702MedicaidVA
1073683769OtherVANPI

Other names 1

  • MELVIN R MORRISON DDS LTD Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin R Morrison DDS LTD

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1073683769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL TOWER",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071901",
            "telephone_number": "757-467-8000",
            "fax_number": "757-467-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL TOWER",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071901",
            "telephone_number": "757-467-8000",
            "fax_number": "757-467-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN R MORRISON DDS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELVIN R MORRISON DDS LTD",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OFFICE MANAGER INSURANCE COORDINATO",
        "authorized_official_telephone_number": "757-467-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "401006550",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "401002480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992730808",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008011702",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073683769",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELVIN R MORRISON DDS LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.