Scott Morris, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027320 Issued in IL

Practice address

110 E Broadway Ave
Alexis, IL 61412-5042

Phone

(309) 787-2440

NPI assigned

Jun 2, 2010

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott Morris DDS & Associates, P.C.

  dba Atlas Dental

  • Dental Clinic/Center
  • Alexis, IL
  • NPI 1588975031
  NPD Authorized official

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1609196542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BROADWAY AVE",
            "city": "ALEXIS",
            "state": "IL",
            "postal_code": "614125042",
            "telephone_number": "309-787-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BROADWAY AVE",
            "city": "ALEXIS",
            "state": "IL",
            "postal_code": "614125042",
            "telephone_number": "309-787-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis North Henderson Ambulance Service
• Pamela Bloomfield
• Keli Jo Hinkle
• Luann Olson
• Scott Morris DDS & Associates, P.C. (Atlas Dental)
• United Cusd 304

• General Practice Dentistry in Alexis, IL
• Providers in Alexis, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.