Mark Douglas Morrison, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60978308 Issued in WA

Practice address

9321 Martin Way E Ste 101
Lacey, WA 98516-5928

Phone

(360) 456-1000

Fax

(360) 456-3515

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Family Dentistry at Hawks Prairie

  • Dentist
  • Lacey, WA
  • NPI 1588859425
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1386290641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 MARTIN WAY E STE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165928",
            "telephone_number": "360-456-1000",
            "fax_number": "360-456-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 MARTIN WAY E STE 101",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165928",
            "telephone_number": "360-456-1000",
            "fax_number": "360-456-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60978308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Nicole Morini, OTR/L
• Jodi Morris
• Tracy L Morris, LMFT
• Alyssa Florence Morrison, D.C
• Denise D Morrison, CCC SLP
• Jill Morse
• Jeremy C Moshier
• Rod G Mosquera
• Kevin Carroll Moss, DMD MS PLLC
• Irene Kwamboka Moturi

• Dentist in Lacey, WA
• Providers in Lacey, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.