Organization Active NPI

Darryl L. Morris a Professional Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Rancho Cucamonga, CA
National Provider Identifier
1174188510
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DARRYL L. MORRIS A PROFESSIONAL CORPORATION
Practice address
10165 Foothill Blvd Ste 23
Rancho Cucamonga, CA 91730-0342
Phone
(909) 481-9500
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Ms. Brittany Brunner, RDA
Title
Office Manager
Phone
(909) 481-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

10165 Foothill Blvd Ste 23
Rancho Cucamonga, CA 91730-0342

Mailing address

10165 Foothill Blvd Ste 23
Rancho Cucamonga, CA 91730-0342
Phone (909) 481-9500

Other practice location 1

29798 Haun Rd
Menifee, CA 92586-6541
Phone (951) 672-2100

National Provider Directory

National Provider Directory

Locations

10165 Foothill Blvd
Ste 23
Rancho Cucamonga, CA 91730
Phone (909) 481-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1174188510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD STE 23",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300342",
            "telephone_number": "909-481-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD STE 23",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300342",
            "telephone_number": "909-481-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29798 Haun Rd",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866541",
            "country_code": "US",
            "telephone_number": "951-672-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARRYL L. MORRIS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-481-9500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.