Individual provider Active NPI

Justin L Morrison, DDS

  • Dentist
  • Beaumont, TX
National Provider Identifier
1811294580
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TX 25640 Issued in TX
Practice address
10 Bayou Brandt Dr
Beaumont, TX 77706
Phone
(409) 866-3700
Fax
(409) 866-1738
NPI assigned
Feb 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TX 25640 TX Primary

Addresses

Primary practice location

10 Bayou Brandt Dr
Beaumont, TX 77706

Mailing address

10 Bayou Brandt Dr
Beaumont, TX 77706
Phone (409) 866-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 27, 2015 through Apr 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TX 25640TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Justin L. Morrison, DDS, PC Dentist CurrentSince Feb 24, 2022 Accepting new patients
E Macon Ware DDS Inc Past Accepting new patients

Locations

10 Bayou Brandt
Beaumont, TX 77706
Phone (409) 866-3700

1490 Wellington Cir
Beaumont, TX 77706
Phone (409) 866-3700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1811294580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BAYOU BRANDT DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-866-3700",
            "fax_number": "409-866-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BAYOU BRANDT DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-866-3700",
            "fax_number": "409-866-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-16",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX 25640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.