Individual provider Active NPI

Jeffrey M Morrison, D.D.S.

  • Dentist
  • Raleigh, NC
National Provider Identifier
1164407235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5411 Issued in NC
Practice address
615 Saint Marys St
Raleigh, NC 27605-1703
Phone
(919) 755-3450
Fax
(919) 755-3474
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5411 NC Primary

Addresses

Primary practice location

615 Saint Marys St
Raleigh, NC 27605-1703

Mailing address

PO Box 10850
Raleigh, NC 27605-0850
Phone (919) 755-3450

Other identifiers 2

IdentifierTypeStateIssuer
114187OtherNCUNITED CONCORDIA PROVIDER
96213OtherNCBCBS OF NC PROVIDER ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160906001516 NC Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4284920943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5411NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan T. Griffith, DMD, PA PastSince Dec 27, 2020 Accepting new patients
Morrison and Lloyd Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164407235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10850",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276050850",
            "telephone_number": "919-755-3450",
            "fax_number": "919-755-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT MARYS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051703",
            "telephone_number": "919-755-3450",
            "fax_number": "919-755-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "114187",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER ID #",
            "identifier": "96213",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.