Shad L. Morris, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

02800149922 Issued in UT

Practice address

352 E Riverside Dr
Suite C-1
St George, UT 84790-6758

Phone

(435) 628-0621

Fax

(435) 688-9528

NPI assigned

Jan 12, 2007

Last updated

Aug 14, 2013By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Sleep Solutions

  • Customized Equipment (DME)
  • Newport Beach, CA
  • NPI 1538594858
  NPD (past) Authorized official
• Mark a Baker PC

  • Dentist
  • St George, UT
  • NPI 1659819050
  NPD (past)
• Premier Sleep Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
  • NPI 1114357944
  NPD (past)
• Premier Sleep Las Vegas, LLC

  dba Premier Sleep Solutions

  • Customized Equipment (DME)
  • Las Vegas, NV
  • NPI 1760817829
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1396896973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR",
            "address_2": "SUITE C-1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906758",
            "telephone_number": "435-628-0621",
            "fax_number": "435-688-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR",
            "address_2": "SUITE C-1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906758",
            "telephone_number": "435-628-0621",
            "fax_number": "435-688-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SHAD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "02800149922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Morley
• Bradan Morrill, CASE MANAGER
• Brad Morris
• Briana Morris
• Dylan Morris
• Madeline Morrison
• Tonya Lynn Morrow
• Reagan Ann Morse
• Collette Mortensen
• Amy Pearl Mortenson, SSW

• General Practice Dentistry in St George, UT
• Providers in St George, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.