NPIMap

Organization Active NPI

Jack T Morrison, DDS, PC

  • Dental Clinic/Center
  • Elk City, OK
National Provider Identifier
1568637205
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3773 Issued in OK
Legal business name
JACK T MORRISON, DDS, PC
Practice address
2212 W 3Rd St
Elk City, OK 73644-4310
Phone
(580) 225-5000
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Jack T Morrison, DDSNPI 1477603868
Title
President
Phone
(580) 225-5000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3773 OK Primary

Addresses

Primary practice location

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

Mailing address

PO Box 220
Elk City, OK 73648-0220
Phone (580) 225-5000

National Provider Directory

National Provider Directory

Locations

2212 W 3rd St
Elk City, OK 73644
Phone (580) 225-5000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1568637205",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK T MORRISON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-225-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.