Individual provider Active NPI

Benjamin Ross Morris, DDS

  • General Practice Dentistry
  • Commerce Township, MI
National Provider Identifier
1326568072
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022333 Issued in MI
Practice address
39890 W 14 Mile Rd
Commerce Township, MI 48390
Phone
(248) 624-8090
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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 2901022333 MI Primary

Addresses

Primary practice location

39890 W 14 Mile Rd
Commerce Township, MI 48390

Mailing address

39890 W 14 Mile Rd
Commerce Township, MI 48390-3911
Phone (248) 624-8090

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
2901022333MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Dental Care of Michigan, P.C. General Practice CurrentSince Jan 12, 2025 Accepting new patients
Mid Michigan Gentle Dental Past Accepting new patients
Stephen E Jacobson DDS PC General Practice PastSince Sep 29, 2019 Accepting new patients
Mid Michigan General Dentistry General Practice Past Accepting new patients

Locations

39890 W 14 Mile Rd
Commerce Township, MI 48390
Phone (248) 624-8090

Organizations & group practices 4

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1326568072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39890 W 14 MILE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903911",
            "telephone_number": "248-624-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39890 W 14 MILE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-624-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "BENJAMIN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.