NPIMap

Organization Active NPI

R Glenn Morris DDS Inc

  • Public Health Dentistry
  • Houston, TX
National Provider Identifier
1578811519
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
9241 Issued in TX
Legal business name
R GLENN MORRIS DDS INC
Practice address
5990 Airline Dr
Suite 100
Houston, TX 77076-4233
Phone
(713) 697-2631
Fax
(713) 697-2046
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Robert Glenn Morris, DDSNPI 1699809103
Title
Owner
Phone
(713) 697-2631

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
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 9241 TX Primary

Addresses

Primary practice location

5990 Airline Dr
Suite 100
Houston, TX 77076-4233

Mailing address

5990 Airline Dr
Suite100
Houston, TX 77076-4233
Phone (713) 697-2631

Other identifiers 1

IdentifierTypeStateIssuer
008462601MedicaidTX

National Provider Directory

National Provider Directory

Locations

5990 Airline Dr
Ste 100
Houston, TX 77076
Phone (713) 697-2631

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": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1578811519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 AIRLINE DR",
            "address_2": "SUITE100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764233",
            "telephone_number": "713-697-2631",
            "fax_number": "713-697-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 AIRLINE DR",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764233",
            "telephone_number": "713-697-2631",
            "fax_number": "713-697-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R GLENN MORRIS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-697-2631",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "9241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008462601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.