Individual provider Active NPI

Robert S. Morrison, D.D.S.

  • Endodontics
  • Irvine, CA
National Provider Identifier
1235268038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
30157 Issued in CA
Practice address
4330 Barranca Pkwy
Suite 115
Irvine, CA 92604-4755
Phone
(949) 733-3400
Fax
(949) 733-3734
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

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
Endodontics 1223E0200X 30157 CA Primary

Addresses

Primary practice location

4330 Barranca Pkwy
Suite 115
Irvine, CA 92604-4755

Mailing address

4330 Barranca Pkwy
Suite 115
Irvine, CA 92604-4755
Phone (949) 733-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150501002033 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022337690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235268038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY",
            "address_2": "SUITE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044755",
            "telephone_number": "949-733-3400",
            "fax_number": "949-733-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY",
            "address_2": "SUITE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044755",
            "telephone_number": "949-733-3400",
            "fax_number": "949-733-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "30157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.