Individual provider Active NPI

Ryan Carl Morrison, DMD

  • General Practice Dentistry
  • Tuscaloosa, AL
National Provider Identifier
1790128825
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6068 Issued in AL
Practice address
1516 Skyland Blvd E
Tuscaloosa, AL 35405-4232
Phone
(601) 431-9886
NPI assigned
Apr 8, 2013
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6068 AL Primary

Addresses

Primary practice location

1516 Skyland Blvd E
Tuscaloosa, AL 35405-4232

Mailing address

604 Wild Forest Dr
Birmingham, AL 35209-6748
Phone (601) 431-9886

Other practice location 1

274 N 3rd St
Gadsden, AL 35901-3201
Phone (256) 459-5309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130628000552 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7315187192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6068ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Morrison DMD LLC Current Accepting new patients
Dental Care of Alabama LLC Past Accepting new patients

Organizations & group practices 2

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1790128825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WILD FOREST DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096748",
            "telephone_number": "601-431-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SKYLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054232",
            "telephone_number": "601-431-9886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359013201",
            "country_code": "US",
            "telephone_number": "256-459-5309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "RYAN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.