Individual provider Active NPI

Morgan Riley, D.C

  • Chiropractor
  • Normal, IL
National Provider Identifier
1104694314
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038014084 Issued in IL
Practice address
1713 Fort Jesse Rd Ste D
Normal, IL 61761-6235
Phone
(309) 862-2225
Fax
(309) 862-2229
NPI assigned
Dec 18, 2023
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038014084 IL Primary

Addresses

Primary practice location

1713 Fort Jesse Rd Ste D
Normal, IL 61761-6235

Mailing address

1713 Fort Jesse Rd Ste D
Normal, IL 61761-6235
Phone (309) 862-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103004279 IL Practitioner - Chiropractic 4385095397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Zozzaro Group LLCGroup PAC ID 8921076506, 2 clinicians

Practice addresses (Care Compare)

1713 Fort Jesse Rd
Suite D
Normal, IL 61761-6235
Phone (309) 862-2225

211 S Prospect Rd
Suite 5
Bloomington, IL 61704-4907
Phone (309) 265-5173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Chiropractic PLLC Chiropractor CurrentSince Mar 23, 2026 Accepting new patients
Zozzaro Group LLC Chiropractor CurrentSince Aug 1, 2024 Accepting new patients

Locations

211 S Prospect Rd
Ste 5
Bloomington, IL 61704
Phone (309) 265-5173

1713 Fort Jesse Rd
Ste D
Normal, IL 61761
Phone (309) 862-2225

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1104694314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 FORT JESSE RD STE D",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616235",
            "telephone_number": "309-862-2225",
            "fax_number": "309-862-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 FORT JESSE RD STE D",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616235",
            "telephone_number": "309-862-2225",
            "fax_number": "309-862-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MORGAN",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.