Active NPI
Morris B Glover, MD
- Specialist
- Albuquerque, NM
National Provider Identifier
1104162270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 69-136
- Practice address
- 4514 Sunset Canyon PL NE
Albuquerque, NM 87111-3061 - Phone
- (505) 296-5923
- NPI assigned
- Dec 18, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 69-136 | NM | Primary |
Addresses
Primary practice location
4514 Sunset Canyon PL NE
Albuquerque, NM 87111-3061
Mailing address
4514 Sunset Canyon PL NE
Albuquerque, NM 87111-3061
Phone (505) 296-5923
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69-136 | NM | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1104162270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 SUNSET CANYON PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113061",
"telephone_number": "505-296-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 SUNSET CANYON PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113061",
"telephone_number": "505-296-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "MORRIS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "69-136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.