Active NPI
Richard John Morris, M.D.
- Allergy Physician
- Maple Grove, MN
National Provider Identifier
1023022613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 24015
- Practice address
- 12000 Elm Creek Blvd
Suite 200
Maple Grove, MN 55369-7073 - Phone
- (763) 420-1010
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 24015 | MN | Primary |
Addresses
Primary practice location
12000 Elm Creek Blvd
Suite 200
Maple Grove, MN 55369-7073
Mailing address
12000 Elm Creek Blvd
Suite 200
Maple Grove, MN 55369-7073
Phone (763) 420-1010
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112892200 | Medicaid | MN | |
| 106538 | Other | MN | CHOICE PLUS |
| 768936 | Other | MN | AMERICAS PPO |
| HP11066 | Other | MN | HEALTHPARTNERS |
| P00271408 | Other | RAILROAD MEDICARE | |
| 101052F031 | Other | MN | UCARE |
| 0200077 | Other | MEDICA | |
| 99D92MO | Other | MN | BLUE CROSS AND BLUE SHIEL |
| 677940509002 | Other | MN | PREFERREDONE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1023022613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 ELM CREEK BLVD",
"address_2": "SUITE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697073",
"telephone_number": "763-420-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 ELM CREEK BLVD",
"address_2": "SUITE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697073",
"telephone_number": "763-420-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "RICHARD",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MN",
"license": "24015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112892200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE PLUS",
"identifier": "106538",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "768936",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP11066",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00271408",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "101052F031",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0200077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "99D92MO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "677940509002",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
- Catalina Smarandita Morarasu, DDS
- Brittany Shawn Moreno, PT. DPT
- Loredana Morett Herbst, HEALTH AND WELLNESS
- Jeanne L Morizio, APRN, CNP
- Alisa Michele Morley, R.D., L.D.
- Derelle R Morrison
- Paeton Morrow, CNP
- Laura Woodbeck Moustafa
- Movement Chiropractic & Wellness, PLLC
- Movement Health Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.