Individual provider Active NPI

Ronald Patrick Morris, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wyandotte, MI
National Provider Identifier
1821077090
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901012910 Issued in MI
Practice address
1823 Fort St
Wyandotte, MI 48192-3545
Phone
(734) 285-2550
Fax
(734) 285-5375
NPI assigned
Jan 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901012910 MI Primary

Addresses

Primary practice location

1823 Fort St
Wyandotte, MI 48192-3545

Mailing address

1823 Fort St
Wyandotte, MI 48192-3545
Phone (734) 285-2550

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
I20080314000068 MI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0648355677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901012910MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Surgery Center, PC Oral and Maxillofacial Surgery CurrentSince Jan 14, 2008 Accepting new patients
Downriver Oral Surgery and Implant Center Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1823 Fort St
Wyandotte, MI 48192
Phone (734) 285-2550

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, 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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821077090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 FORT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923545",
            "telephone_number": "734-285-2550",
            "fax_number": "734-285-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 FORT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923545",
            "telephone_number": "734-285-2550",
            "fax_number": "734-285-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RONALD",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901012910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.