NPIMap

Organization Active NPI

Theodore H. Morris Jr DDS. PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1720213705
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THEODORE H. MORRIS JR DDS. PLLC
Practice address
7201 Lebanon Road
Charlotte, NC 28227-9027
Phone
(704) 545-3363
Fax
(704) 545-0446
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Mrs. Mendy Love
Title
Office Manager
Phone
(704) 545-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7201 Lebanon Road
Charlotte, NC 28227-9027

Mailing address

7201 Lebanon Road
Charlotte, NC 28227-9027
Phone (704) 545-3363

Other names 1

  • Morris Center for Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7201 Lebanon Rd
Mint Hill, NC 28227
Phone (704) 545-3363

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1720213705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 LEBANON ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279027",
            "telephone_number": "704-545-3363",
            "fax_number": "704-545-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 LEBANON ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279027",
            "telephone_number": "704-545-3363",
            "fax_number": "704-545-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE H. MORRIS JR DDS. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "MENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-545-3363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Center for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.