Patrick J Morris, PERIODONTIST

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE015523 Issued in MO

Practice address

613 SE 5TH St
Lees Summit, MO 64056

Phone

(816) 554-2663

Fax

(816) 554-2664

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1942303409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 SE 5TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64056",
            "telephone_number": "816-554-2663",
            "fax_number": "816-554-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SE 5TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64056",
            "telephone_number": "816-554-2663",
            "fax_number": "816-554-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PERIODONTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "DE015523",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "DE015523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyleigh Renae Moorer, ATC
• April Denise Morford
• Megan M Morgan, PHARM.D
• Chelsea Morris, D.D.S.
• Karen Lynn Morris, CRNA
• Morrison Inc
• Kenneth Andrew Mosley, NNP
• Charlotte Moss, PHD
• Erika Moss, DPT
• Motion Human Performance

• Periodontics in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.

Verify at the official NPI Registry.