Individual provider Active NPI

Michael Fields Morris, D.D.S, ABE

  • Endodontics
  • Richmond, VA
National Provider Identifier
1609858570
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401007677 Issued in VA
Practice address
3107 Hungary Spring Rd
Richmond, VA 23228-2421
Phone
(804) 501-0501
Fax
(804) 501-0509
NPI assigned
Nov 16, 2005
Last updated
Jul 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401007677 VA Primary

Addresses

Primary practice location

3107 Hungary Spring Rd
Richmond, VA 23228-2421

Mailing address

3107 Hungary Spring Rd
Richmond, VA 23228-2421
Phone (804) 501-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160408001092 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537467428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Endodontics Endodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1609858570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 HUNGARY SPRING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282421",
            "telephone_number": "804-501-0501",
            "fax_number": "804-501-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 HUNGARY SPRING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282421",
            "telephone_number": "804-501-0501",
            "fax_number": "804-501-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHAEL",
        "middle_name": "FIELDS",
        "name_prefix": "Dr.",
        "credential": "D.D.S, ABE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401007677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.