Active NPI
Jeffrey M Morrison, D.D.S.
- Dentist
- Raleigh, NC
National Provider Identifier
1164407235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5411
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114187 | Other | NC | UNITED CONCORDIA PROVIDER |
| 96213 | Other | NC | BCBS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160906001516 | NC | Order and Referring Only - Other (Physician) | 4284920943 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5411 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan T. Griffith, DMD, PA | Past | 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.
-
- General Practice Dentistry
- Raleigh, NC
- NPI 1346468816
-
- Dental Clinic/Center
- Raleigh, NC
- NPI 1215524111
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.