Active NPI
Clay Sisson Morris Sr., DDS
- Dentist
- Clifton Forge, VA
National Provider Identifier
1154524486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401007475
- Practice address
- 424 Commercial Avenue
Clifton Forge, VA 24422 - Phone
- (540) 862-4460
- Fax
- (540) 862-4462
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401007475 | VA | Primary |
Addresses
Primary practice location
424 Commercial Avenue
Clifton Forge, VA 24422
Mailing address
PO Box 185
Clifton Forge, VA 24422
Phone (540) 862-4460
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 |
|---|---|---|---|
| 0401007475 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154524486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 185",
"city": "CLIFTON FORGE",
"state": "VA",
"postal_code": "24422",
"telephone_number": "540-862-4460",
"fax_number": "540-862-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 COMMERCIAL AVENUE",
"city": "CLIFTON FORGE",
"state": "VA",
"postal_code": "24422",
"telephone_number": "540-862-4460",
"fax_number": "540-862-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CLAY",
"middle_name": "SISSON",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401007475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Forge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.