Active NPI
Imari Sade Morrison, DDS
- Dentist
- Plantation, FL
National Provider Identifier
1801357140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN25377
- Practice address
- 12331 SW 3Rd St Ste 450
Plantation, FL 33325-2813 - Phone
- (954) 604-6777
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN25377 | FL | Primary |
Addresses
Primary practice location
12331 SW 3Rd St Ste 450
Plantation, FL 33325-2813
Mailing address
9720 Darlington PL
Cooper City, FL 33328-5827
Other practice location 1
1202 M.L.K. Jr Way
Suite 310
Tacoma, WA 98405
Phone (253) 441-4743
Other practice location 2
6738 W Sunrise Blvd Ste 105
Plantation, FL 33313-6070
Phone (954) 792-1857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN25377 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Smiles, PLLC | Dentist | Current | Accepting new patients |
Locations
12331 SW 3rd St
Ste 450
Plantation, FL 33325
Phone (954) 604-6777
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Plantation, FL
- NPI 1346754785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660435200000",
"number": "1801357140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 DARLINGTON PL",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12331 SW 3RD ST STE 450",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333252813",
"telephone_number": "954-604-6777"
}
],
"practiceLocations": [
{
"address_1": "1202 M.L.K. Jr Way",
"address_2": "Suite 310",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98405",
"country_code": "US",
"telephone_number": "253-441-4743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6738 W Sunrise Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333136070",
"country_code": "US",
"telephone_number": "954-792-1857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON",
"first_name": "IMARI",
"middle_name": "SADE",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2022-08-14",
"certification_date": "2022-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.