Robert Tyler Morris, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30770 Issued in TX

Practice address

4724 Sweetwater Blvd
#105
Sugar Land, TX 77479-3149

Phone

(832) 992-2200

NPI assigned

Jul 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Previously, effective Aug 21, 2024 through Aug 21, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lighthouse Surgical Holdings PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
  • NPI 1477128395
  NPD (past)

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1871881292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25502 OAKTON SPRINGS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948558",
            "telephone_number": "832-992-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD",
            "address_2": "#105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793149",
            "telephone_number": "832-992-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ROBERT",
        "middle_name": "TYLER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30770",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lyn Morgan, PA-C
• Morningsun Health Care, PLLC
• Alexander Winston Morris, AUD
• Lisa Michelle Morris, RPH, CGP, FASCP
• Rachel Morris, LPC, LCDC
• Katherine Marie Morrow, LPC-A
• Roger H Morse, MD
• Hesham Morsi, MD
• Latoya D Mosby, M.S., BCBA, LBA
• Elizabeth Lea Mosier, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.