Active NPI
Charles B Morrison, DDS
- Dentist
- Springfield, LA
National Provider Identifier
1972723211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1827380
- Practice address
- 32106 Main Street
Springfield, LA 70462 - Phone
- (225) 294-3044
- NPI assigned
- Apr 27, 2007
- Last updated
- Dec 23, 2013
- 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 | 1827380 | LA | Primary |
Addresses
Primary practice location
32106 Main Street
Springfield, LA 70462
Mailing address
26437 Hwy 42
Holden, LA 70744-6412
Phone (985) 981-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1827380 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1827380 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1972723211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26437 HWY 42",
"city": "HOLDEN",
"state": "LA",
"postal_code": "707446412",
"telephone_number": "985-981-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32106 MAIN STREET",
"city": "SPRINGFIELD",
"state": "LA",
"postal_code": "70462",
"telephone_number": "225-294-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "CHARLES",
"middle_name": "B",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "1827380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1827380",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.