NPIMap

Organization Active NPI

Morris Orthodontics PLLC

Doing business as hollywood orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gallup, NM
National Provider Identifier
1467722116
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3609 Issued in NM
Legal business name
MORRIS ORTHODONTICS PLLC
Doing business as
hollywood orthodontics
Practice address
1213C US Highway 491
Gallup, NM 87301-4820
Phone
(505) 979-5600
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. John M Morris, DDS
Title
Owner
Phone
(480) 452-5134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3609 NM Primary

Addresses

Primary practice location

1213C US Highway 491
Gallup, NM 87301-4820

Mailing address

1910 E Willow Tree CT
Gilbert, AZ 85234-4932
Phone (480) 452-5134

Other names 1

  • hollywood orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1467722116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E WILLOW TREE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344932",
            "telephone_number": "480-452-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213C US HIGHWAY 491",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014820",
            "telephone_number": "505-979-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-452-5134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hollywood orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.