NPIMap

Organization Active NPI

Brick Street Dental, PLLC

  • Dental Clinic/Center
  • Tyler, TX
National Provider Identifier
1730623950
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12678 Issued in TX
Legal business name
BRICK STREET DENTAL, PLLC
Practice address
215 W Rusk St
Tyler, TX 75701-1652
Phone
(903) 592-8411
Fax
(903) 592-8454
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. James Coker Morrison, DDSNPI 1326125550
Title
Manager
Phone
(903) 592-8411

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
Dental Clinic/Center 261QD0000X 12678 TX Primary

Addresses

Primary practice location

215 W Rusk St
Tyler, TX 75701-1652

Mailing address

215 W Rusk St
Tyler, TX 75701-1652
Phone (903) 592-8411

National Provider Directory

National Provider Directory

Locations

215 W Rusk St
Tyler, TX 75701
Phone (903) 592-8411

Practitioners & affiliated clinicians

Practitioners 1

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": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1730623950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W RUSK ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011652",
            "telephone_number": "903-592-8411",
            "fax_number": "903-592-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W RUSK ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011652",
            "telephone_number": "903-592-8411",
            "fax_number": "903-592-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK STREET DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "COKER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-592-8411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "12678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.