Active NPI
Amanda Blair Morris, DMD
- Dentist
- Mount Pleasant, SC
National Provider Identifier
1609345040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9863
- Practice address
- 1321 Chuck Dawley Blvd Ste 101
Mount Pleasant, SC 29464-7304 - Phone
- (843) 881-9909
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 9863 | SC | Primary |
Addresses
Primary practice location
1321 Chuck Dawley Blvd Ste 101
Mount Pleasant, SC 29464-7304
Mailing address
181 Bayfront Dr Unit 319
Mount Pleasant, SC 29464-1852
Phone (256) 651-3234
Other practice location 1
8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone (210) 450-3715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2022 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9863 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth J. Bjornson, DDS, MHS, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Mount Pleasant, SC
- NPI 1013123983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1609345040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 BAYFRONT DR UNIT 319",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641852",
"telephone_number": "256-651-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 CHUCK DAWLEY BLVD STE 101",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647304",
"telephone_number": "843-881-9909"
}
],
"practiceLocations": [
{
"address_1": "8210 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293923",
"country_code": "US",
"telephone_number": "210-450-3715",
"fax_number": "210-450-2207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRIS",
"first_name": "AMANDA",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.