Individual provider Active NPI

Thomas A. Morris, DMD

  • General Practice Dentistry
  • Arcadia, FL
National Provider Identifier
1548396385
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24449 Issued in TX
Practice address
34 S Baldwin Ave
Arcadia, FL 34266
Phone
(863) 993-1601
Fax
(863) 491-7552
NPI assigned
Feb 26, 2007
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X HAD 53 FL
General Practice Dentistry 1223G0001X 24449 TX Primary

Addresses

Primary practice location

34 S Baldwin Ave
Arcadia, FL 34266

Mailing address

34 S Baldwin Ave
Arcadia, FL 34266-3387
Phone (863) 993-1601

Other practice location 1

1955 US Highway 1
St Johns County DOH
St Augustine, FL 32086
Phone (904) 825-5055

Other identifiers 1

IdentifierTypeStateIssuer
1548396385MedicaidFL

Other names 1

  • Dr. Thomas A. Morris-Zamora Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20250403001673 PR Order and Referring Only - DentistPractitioner - Dentist 8123388386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HAD 53FLMDDentist
24449TXMDGeneral Practice Dentistry
1833PRMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1548396385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663387",
            "telephone_number": "863-993-1601",
            "fax_number": "863-491-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "34266",
            "telephone_number": "863-993-1601",
            "fax_number": "863-491-7552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 US Highway 1",
            "address_2": "St Johns County DOH",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "32086",
            "country_code": "US",
            "telephone_number": "904-825-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "HAD 53",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548396385",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "MORRIS-ZAMORA",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.