Active NPI
Morris & Morris DDS
- General Practice Dentistry
- Wilmington, NC
National Provider Identifier
1508873613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5935
- Legal business name
- MORRIS & MORRIS DDS
- Practice address
- 2252 Yaupon Drive
Wilmington, NC 28401 - Phone
- (910) 762-0786
- Fax
- (910) 343-8044
- NPI assigned
- Aug 2, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenny J Morris Jr., DDS
- Title
- Dentist President
- Phone
- (910) 762-0786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5935 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 5951 | NC |
Addresses
Primary practice location
2252 Yaupon Drive
Wilmington, NC 28401
Mailing address
2252 Yaupon Drive
Wilmington, NC 28401
Phone (910) 762-0786
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7996208 | Medicaid | NC | |
| 96208 | Other | NC | BCBS OF NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1053483651
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1962574566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508873613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 YAUPON DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-762-0786",
"fax_number": "910-343-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2252 YAUPON DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-762-0786",
"fax_number": "910-343-8044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRIS & MORRIS DDS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "KENNY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DENTIST PRESIDENT",
"authorized_official_telephone_number": "910-762-0786",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5935",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5951",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7996208",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "96208",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.