Individual provider Active NPI

Imanuel Morenings, D.C.

  • Chiropractor
  • Bristol, VA
National Provider Identifier
1154326643
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000510 Issued in VA
Practice address
2022 Euclid Ave
Bristol, VA 24201-3610
Phone
(276) 466-3012
Fax
(276) 466-1502
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000510 VA Primary

Addresses

Primary practice location

2022 Euclid Ave
Bristol, VA 24201-3610

Mailing address

2022 Euclid Ave
Bristol, VA 24201-3610
Phone (276) 466-3012

Other identifiers 7

IdentifierTypeStateIssuer
VA0102OtherVAJOHN DEERE
0124256MedicaidTN
3500014411OtherVARAILROAD MEDICARE
1281720001OtherVAADMINASTAR
058407OtherVAANTHEM B/C B/S #
295687100OtherVAUS DEPARTMENT OF LABOR #
8930236MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001228 VA Practitioner - Chiropractic 4789752379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2022 Euclid Ave
Bristol, VA 24201-3610
Phone (276) 466-3012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000510VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gerhard H Morenings & Associates, PC Chiropractor CurrentSince Oct 1, 1988 Accepting new patients

Locations

2022 Euclid Ave
Bristol, VA 24201
Phone (276) 466-3012

Interoperability endpoints

  • Direct secure messaging: drimdc@dgap0001.direct.chirotouch.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1154326643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013610",
            "telephone_number": "276-466-3012",
            "fax_number": "276-466-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013610",
            "telephone_number": "276-466-3012",
            "fax_number": "276-466-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENINGS",
        "first_name": "IMANUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "VA0102",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124256",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "3500014411",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR",
            "identifier": "1281720001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B/C B/S #",
            "identifier": "058407",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR #",
            "identifier": "295687100",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930236",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.