Organization Active NPI

Shad L Morris DMD PC

  • Dentist
  • Cedar City, UT
National Provider Identifier
1902967524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
02800149922 Issued in UT
Legal business name
SHAD L MORRIS DMD PC
Practice address
427 S Main St
Ste 101
Cedar City, UT 84720
Phone
(435) 586-6526
Fax
(435) 867-9203
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shad L Morris, DMD
Title
Owner
Phone
(435) 586-6526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 02800149922 UT Primary

Addresses

Primary practice location

427 S Main St
Ste 101
Cedar City, UT 84720

Mailing address

427 S Main St
Ste 101
Cedar City, UT 84720
Phone (435) 586-6526

Other identifiers 2

IdentifierTypeStateIssuer
S29980447007MedicaidUT
02800149900001OtherUTBLUE CROSS BLUE SHIELD

Other names 1

  • Premier Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902967524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S MAIN ST",
            "address_2": "STE 101",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-586-6526",
            "fax_number": "435-867-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S MAIN ST",
            "address_2": "STE 101",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-586-6526",
            "fax_number": "435-867-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAD L MORRIS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-586-6526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "02800149922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S29980447007",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02800149900001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.