Organization 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
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3702 Issued in OR
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.