Organization Active NPI

Morris and Carmichael 2 DDS PLLC

Doing business as Beach Road Dentistry

  • General Practice Dentistry
  • Southport, NC
National Provider Identifier
1093187973
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8605 Issued in NC
Legal business name
MORRIS AND CARMICHAEL 2 DDS PLLC
Doing business as
Beach Road Dentistry
Practice address
4742 Long Beach Rd SE
Southport, NC 28461-8721
Phone
(910) 457-7167
Fax
(910) 457-9650
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Dr. Cammie Morris, DDS
Title
Member/President
Phone
(910) 457-7167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8605 NC Primary

Addresses

Primary practice location

4742 Long Beach Rd SE
Southport, NC 28461-8721

Mailing address

4742 Long Beach Rd SE
Southport, NC 28461-8721
Phone (910) 457-7167

Other names 1

  • Beach Road Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4742 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-7167

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1093187973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-7167",
            "fax_number": "910-457-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-7167",
            "fax_number": "910-457-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS AND CARMICHAEL 2 DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CAMMIE",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "910-457-7167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Road Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.