Organization Active NPI

Justin L. Morrison, DDS, PC

  • Dentist
  • Beaumont, TX
National Provider Identifier
1629375936
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TX 25640 Issued in TX
Legal business name
JUSTIN L. MORRISON, DDS, PC
Practice address
10 Bayou Brandt Dr
Beaumont, TX 77706
Phone
(409) 866-3700
Fax
(409) 866-1738
NPI assigned
Feb 23, 2011
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Dr. Justin L. Morrison, DDSNPI 1811294580
Title
President
Phone
(409) 866-3700

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X TX 25640 TX Primary

Addresses

Primary practice location

10 Bayou Brandt Dr
Beaumont, TX 77706

Mailing address

10 Bayou Brandt Dr
Beaumont, TX 77706
Phone (409) 866-3700

National Provider Directory

National Provider Directory

Locations

10 Bayou Brandt
Beaumont, TX 77706
Phone (409) 866-3700

1490 Wellington Cir
Beaumont, TX 77706
Phone (409) 866-3700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1629375936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BAYOU BRANDT DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-866-3700",
            "fax_number": "409-866-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BAYOU BRANDT DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-866-3700",
            "fax_number": "409-866-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN L. MORRISON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-866-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX 25640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.