Active NPI
Steven Morris, D.D.S
- Dentist
- Las Vegas, NV
National Provider Identifier
1891903308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4170
- Practice address
- 4451 N Rancho Dr
Las Vegas, NV 89130-3405 - Phone
- (702) 313-6868
- Fax
- (702) 313-6873
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4170 | NV | Primary |
Addresses
Primary practice location
4451 N Rancho Dr
Las Vegas, NV 89130-3405
Mailing address
653 N Stephanie St
Ste C-3
Henderson, NV 89014-2634
Phone (702) 435-3827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150903001648 | NV | Order and Referring Only - Dentist | 9739495896 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4170 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Dental Group, PC | Dentist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Las Vegas, NV
- NPI 1083821334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1891903308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 N STEPHANIE ST",
"address_2": "STE C-3",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142634",
"telephone_number": "702-435-3827",
"fax_number": "702-435-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4451 N RANCHO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303405",
"telephone_number": "702-313-6868",
"fax_number": "702-313-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "STEVEN",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.