Active NPI
Richard David Morris, M.D.
- Specialist
- Daytona Beach, FL
National Provider Identifier
1467466508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME42683
- Practice address
- 1360 Mason Ave Ste C
Daytona Beach, FL 32117-5530 - Phone
- (386) 255-6241
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME42683 | FL | Primary |
Addresses
Primary practice location
1360 Mason Ave Ste C
Daytona Beach, FL 32117-5530
Mailing address
1360 Mason Ave Ste C
Daytona Beach, FL 32117-5530
Phone (386) 255-6241
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64500 | Other | FL | BCBS |
| 4055412 | Other | FL | AETNA |
| 003867 | Other | FL | FLORIDA HEALTHCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42683 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1467466508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 MASON AVE STE C",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175530",
"telephone_number": "386-255-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 MASON AVE STE C",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175530",
"telephone_number": "386-255-6241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "RICHARD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME42683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "64500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4055412",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA HEALTHCARE",
"identifier": "003867",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.