Todarius Morris

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12538 Issued in TN

Practice address

47 N Star Dr
Jackson, TN 38305-6647

Phone

(731) 664-9556

NPI assigned

May 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Elite Dental Care Jackson

  • Dental Clinic/Center
  • Jackson, TN
  • NPI 1356076152
  NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1235979576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 N BELVEDERE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381075024",
            "telephone_number": "901-691-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N STAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056647",
            "telephone_number": "731-664-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TODARIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Morris, NP
• Lynn Marie Morris
• Morgan Elizabeth Morris, COTA/L
• Rebecca Guthrie Morris, NP-C
• Suzanne Rae Morris
• James Jeffery Morrison, CASE MANAGER
• Melinda Morrison, ED COORDINATOR
• Veronica Morrow, LCSW
• Melinda S Mosby, NP
• Summar M Moser, PT

• All providers in Jackson, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.