Active NPI
Ryan D Morris, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D12760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D12760 | MN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centrasota Oral & Maxillofacial Surgeons, P.a. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Hennepin Faculty Associates | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Saint Cloud, MN
- NPI 1598710477
-
- General Practice Physician
- Minneapolis, MN
- NPI 1063459485
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.