Active NPI
Imari Sade Morrison, DDS
- Dentist
- Plantation, FL
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
- Last updated
- Aug 14, 2022
- 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, 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": "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.