Organization Active NPI

Beverly T Morris DDS PC

  • General Practice Dentistry
  • Grosse Ile, MI
National Provider Identifier
1407806789
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEVERLY T MORRIS DDS PC
Practice address
24201 Meridian Rd
Grosse Ile, MI 48138-2134
Phone
(734) 692-0102
Fax
(734) 692-1541
NPI assigned
May 10, 2006
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Mrs. Angela L. Justice
Title
Business Manager
Phone
(734) 692-0102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

24201 Meridian Rd
Grosse Ile, MI 48138-2134

Mailing address

24201 Meridian Rd
Grosse Ile, MI 48138-2134
Phone (734) 692-0102

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1407806789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24201 MERIDIAN RD",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382134",
            "telephone_number": "734-692-0102",
            "fax_number": "734-692-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24201 MERIDIAN RD",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382134",
            "telephone_number": "734-692-0102",
            "fax_number": "734-692-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY T MORRIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "734-692-0102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Ile, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.