NPIMap

Organization Active NPI

Morris Orthodontics PLLC

Doing business as hollywood orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gallup, NM
National Provider Identifier
1679016414
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DD3609 Issued in NM
Legal business name
MORRIS ORTHODONTICS PLLC
Doing business as
hollywood orthodontics
Practice address
1213C US Highway 491
Gallup, NM 87301-4820
Phone
(505) 979-5600
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
John Melvin Morris, DDSNPI 1912275991
Title
Owner
Phone
(480) 452-5134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DD3609 NM Primary

Addresses

Primary practice location

1213C US Highway 491
Gallup, NM 87301-4820

Mailing address

1910 E Willow Tree CT
Gilbert, AZ 85234-4932
Phone (480) 452-5134

Other names 1

  • hollywood orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1213C US Highway 491
Gallup, NM 87301
Phone (505) 979-5600

Practitioners & affiliated clinicians

Practitioners 1

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1679016414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E WILLOW TREE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344932",
            "telephone_number": "480-452-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213C US HIGHWAY 491",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014820",
            "telephone_number": "505-979-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-452-5134",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hollywood orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.