Individual provider Active NPI

Ryan D Morris, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Cloud, MN
National Provider Identifier
1326255241
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D12760 Issued in MN
Practice address
3950 Veterans Dr Ste 100
Saint Cloud, MN 56303-3424
Phone
(320) 252-3611
Fax
(320) 252-7574
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D12760 MN Primary

Addresses

Primary practice location

3950 Veterans Dr Ste 100
Saint Cloud, MN 56303-3424

Mailing address

3950 Veterans Dr Ste 100
Saint Cloud, MN 56303-3424
Phone (320) 252-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100907000516 MN Practitioner - Dentist 9931223435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Iowa College of Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrasota Oral and Maxillofacial Surgeons PAGroup PAC ID 7315969326, 6 clinicians

Practice addresses (Care Compare)

3950 Veterans Dr
Suite 100
Saint Cloud, MN 56303-3424
Phone (320) 252-3611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12760MNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Centrasota Oral & Maxillofacial Surgeons, P.a. Oral and Maxillofacial Surgery CurrentSince Jul 1, 2010 Accepting new patients
Hennepin Faculty Associates PastSince Jul 1, 2010 Accepting new patients

Locations

2633 Jefferson St
Ste 602
Alexandria, MN 56308
Phone (320) 763-5117

1015 Highway 15 S
#15
Hutchinson, MN 55350
Phone (952) 476-0070

3880 Deegan Ct
Ste 100
Monticello, MN 55362
Phone (320) 252-3611

3950 Veterans Dr
Ste 100
Saint Cloud, MN 56303
Phone (320) 252-3611

531 Pine Cone Rd
Sartell, MN 56377
Phone (320) 252-3611

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1326255241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR STE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033424",
            "telephone_number": "320-252-3611",
            "fax_number": "320-252-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR STE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033424",
            "telephone_number": "320-252-3611",
            "fax_number": "320-252-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RYAN",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D12760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.