Active NPI
J.C. Morris, DC,PC
Doing business as Active Living Chiropractic and Rehab
- Primary Care Clinic/Center
- Bend, OR
National Provider Identifier
1164768123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 3702
- Legal business name
- J.C. MORRIS, DC,PC
- Doing business as
- Active Living Chiropractic and Rehab
- Practice address
- 142 NW Hawthorne Ave
Bend, OR 97701-2918 - Phone
- (541) 389-5232
- Fax
- (541) 385-0140
- NPI assigned
- Dec 19, 2012
- Last updated
- Dec 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry Christopher Morris, D.C.
- Title
- Chiropractor
- Phone
- (541) 389-5232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 3702 | OR | Primary |
Addresses
Primary practice location
142 NW Hawthorne Ave
Bend, OR 97701-2918
Mailing address
142 NW Hawthorne Ave
Bend, OR 97701-2918
Phone (541) 389-5232
Other names 1
- Active Living Chiropractic and Rehab
National Provider Directory
National Provider DirectoryLocations
51 Water St
Ste 111
Ashland, OR 97520
Phone (541) 488-3335
142 NW Hawthorne Ave
Bend, OR 97703
Phone (541) 389-5232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355875200000",
"number": "1164768123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 NW HAWTHORNE AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977012918",
"telephone_number": "541-389-5232",
"fax_number": "541-385-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 NW HAWTHORNE AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977012918",
"telephone_number": "541-389-5232",
"fax_number": "541-385-0140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J.C. MORRIS, DC,PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "15413895232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OR",
"license": "3702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Living Chiropractic and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.