Individual provider Active NPI

Eric Kenneth Morrison, D.D.S.

  • General Practice Dentistry
  • Chevy Chase, MD
National Provider Identifier
1215011168
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5757 Issued in DC
Practice address
5481 Wisconsin Ave Ste 221
Chevy Chase, MD 20815-3554
Phone
(301) 637-0719
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5757 DC Primary

Addresses

Primary practice location

5481 Wisconsin Ave Ste 221
Chevy Chase, MD 20815-3554

Mailing address

5481 Wisconsin Ave Ste 221
Chevy Chase, MD 20815-3554
Phone (301) 637-0719

Other practice location 1

803 Russell Ave Ste 2C
Gaithersburg, MD 20879-3584
Phone (301) 637-0719

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

LicenseStateTypeSpecialty
5757DCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1215011168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 WISCONSIN AVE STE 221",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153554",
            "telephone_number": "301-637-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 WISCONSIN AVE STE 221",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153554",
            "telephone_number": "301-637-0719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Russell Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208793584",
            "country_code": "US",
            "telephone_number": "301-637-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ERIC",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "5757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.