Individual provider Active NPI

John Edward Morrison Jr., DDS

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1801986161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10459 Issued in MI
Practice address
18900 Schoolcraft
Detroit, MI 48223-2906
Phone
(313) 273-0060
Fax
(313) 273-0271
NPI assigned
Oct 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 10459 MI Primary

Addresses

Primary practice location

18900 Schoolcraft
Detroit, MI 48223-2906

Mailing address

18900 Schoolcraft
Detroit, MI 48223-2906
Phone (313) 273-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525002823 MI Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 7214227602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10459MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Morrison Jr. DDS PC CurrentSince Aug 7, 2022 Accepting new patients

Locations

18900 Schoolcraft
Detroit, MI 48223
Phone (313) 273-0060

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801986161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18900 SCHOOLCRAFT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232906",
            "telephone_number": "313-273-0060",
            "fax_number": "313-273-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 SCHOOLCRAFT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232906",
            "telephone_number": "313-273-0060",
            "fax_number": "313-273-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.