Gregg Morlock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1760 Issued in MN

Practice address

1602 30TH Ave. S.
Moorhead, MN 56560

Phone

(218) 233-4402

Fax

(218) 233-1026

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morlock Chiropractic Center

  • Chiropractor
  • Moorhead, MN
  • NPI 1710084090
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1093813677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE. S.",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-233-4402",
            "fax_number": "218-233-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE. S.",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-233-4402",
            "fax_number": "218-233-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLOCK",
        "first_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "875327000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4353",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Moore
• Moorhead Counseling PLLC
• Moorhead Operations LLC
• Morlock Chiropractic Center
• Morlock Chiropractic Center LTD
• Katie Marie Morris, LPCC
• Michele Ann Morse, MPT
• Renata Mosaei
• Lyvia Marie Moser, PHARMD
• Melinda Marie Moser, D.C.

• Chiropractor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.