Organization Active NPI

Morris & Associates DDS PA

Doing business as Beach Road Dentistry

  • General Practice Dentistry
  • Southport, NC
National Provider Identifier
1508241712
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8605 Issued in NC
Legal business name
MORRIS & ASSOCIATES DDS PA
Doing business as
Beach Road Dentistry
Practice address
4742 Long Beach Rd SE
Southport, NC 28461-8721
Phone
(910) 457-7167
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Cammie Morris, DDS
Title
Dentist
Phone
(910) 457-7167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8605 NC Primary

Addresses

Primary practice location

4742 Long Beach Rd SE
Southport, NC 28461-8721

Mailing address

4742 Long Beach Rd SE
Southport, NC 28461-8721
Phone (910) 457-7167

Other names 1

  • Beach Road Dentistry 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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1508241712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS & ASSOCIATES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CAMMIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-457-7167",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Road Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.