Jared D Morrow
Individual provider Active NPI Chiropractor · Cheyenne, WY
NPI 1013099423 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013099423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 636 (WY)
- Practice address
- 800 E 20TH St Ste 240
Cheyenne, WY 82001-3868 - Phone
- (307) 638-0894
- Fax
- (307) 638-0895
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
611 E Carlson St
Suite 101
Cheyenne, WY 82009-4335
Phone (307) 638-0894
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826001149 | WY | Practitioner - Chiropractic | 2961476718 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 636 | WY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laramie County Chiropractic | Chiropractor | Current |
Accepting new patients |
Locations
611 E Carlson St
Ste 101
Cheyenne, WY 82009
Phone (307) 638-0894
800 E 20th St
Ste 240
Cheyenne, WY 82001
Phone (307) 638-0894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 636 | WY | Yes |
Addresses
Primary practice location
800 E 20TH St Ste 240
Cheyenne, WY 82001-3868
Mailing address
800 E 20TH St Ste 240
Cheyenne, WY 82001-3868
Phone (307) 638-0894
NPI Registry JSON
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013099423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E 20TH ST STE 240",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013868",
"telephone_number": "307-638-0894",
"fax_number": "307-638-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 20TH ST STE 240",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013868",
"telephone_number": "307-638-0894",
"fax_number": "307-638-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORROW",
"first_name": "JARED",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.