Individual provider Active NPI

Douglas B Morgan, DC

  • Chiropractor
  • Belville, NC
National Provider Identifier
1013485705
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4963 Issued in NC
Practice address
497 Olde Waterford Way Ste 108
Belville, NC 28451-4183
Phone
(910) 378-4400
NPI assigned
Nov 12, 2018
Last updated
May 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4963 NC Primary

Addresses

Primary practice location

497 Olde Waterford Way Ste 108
Belville, NC 28451-4183

Mailing address

3115 Beechnut CT
Winnabow, NC 28479-1101
Phone (801) 360-5606

Other practice location 1

3115 Beechnut Ct
Winnabow, NC 28479-1101
Phone (910) 378-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213001141 NC Practitioner - Chiropractic 0547508707 Practice locations: Belville, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3115 Beechnut CT
Winnabow, NC 28479-1101

497 Olde Waterford Way
Suite 108
Belville, NC 28451-4183
Phone (910) 769-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1013485705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 BEECHNUT CT",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284791101",
            "telephone_number": "801-360-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 OLDE WATERFORD WAY STE 108",
            "city": "BELVILLE",
            "state": "NC",
            "postal_code": "284514183",
            "telephone_number": "910-378-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Beechnut Ct",
            "address_purpose": "LOCATION",
            "city": "Winnabow",
            "state": "NC",
            "postal_code": "284791101",
            "country_code": "US",
            "telephone_number": "910-378-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.