Individual provider Active NPI

James Bradley Morris, DDS

  • Prosthodontics
  • Mill Valley, CA
National Provider Identifier
1801942859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
39687 Issued in CA
Practice address
163 Miller Ave
Suite 2
Mill Valley, CA 94941-2759
Phone
(415) 383-2244
Fax
(415) 383-2259
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 39687 CA Primary

Addresses

Primary practice location

163 Miller Ave
Suite 2
Mill Valley, CA 94941-2759

Mailing address

163 Miller Ave
Suite 2
Mill Valley, CA 94941-2759
Phone (415) 383-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210128001102 CA Order and Referring Only - DentistPractitioner - Dentist 8123432457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801942859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MILLER AVE",
            "address_2": "SUITE 2",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412759",
            "telephone_number": "415-383-2244",
            "fax_number": "415-383-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 MILLER AVE",
            "address_2": "SUITE 2",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412759",
            "telephone_number": "415-383-2244",
            "fax_number": "415-383-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JAMES",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "39687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.