Jack Thomas Morrison, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3773 Issued in OK

Practice address

2212 W 3Rd St
Elk City, OK 73644-4310

Phone

(580) 225-5000

Fax

(580) 225-5007

NPI assigned

Jan 10, 2007

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Jack T Morrison, DDS, PC

  • Dental Clinic/Center
  • Elk City, OK
  • NPI 1568637205
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477603868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480220",
            "telephone_number": "580-225-5000",
            "fax_number": "580-225-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444310",
            "telephone_number": "580-225-5000",
            "fax_number": "580-225-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JACK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly a Mayfield Aprn CNP PLLC
• Devonia Monroe
• Karrianne Lyn Moore, CRNA
• Brandon Morris, HAS
• Deward Lawayne Morris, BC-HIS
• Greg Mouse
• Linda Muniz
• Jennifer Musgrove, DPH
• Misty Lorraine Musick, MS
• Heather Nebhut

• General Practice Dentistry in Elk City, OK
• Providers in Elk City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.