Active NPI
Morgan Patrick Morris, DC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1174822555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2011016137
- Practice address
- 4077 S Grand Blvd
Saint Louis, MO 63118-3418 - Phone
- (314) 664-3200
- Fax
- (314) 664-6009
- NPI assigned
- Mar 24, 2011
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2011016137 | MO | Primary |
Addresses
Primary practice location
4077 S Grand Blvd
Saint Louis, MO 63118-3418
Mailing address
4077 S Grand Blvd
Saint Louis, MO 63118-3418
Phone (314) 664-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110823000238 | MO | Practitioner - Chiropractic | 9234309659 | Practice locations: Saint Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4077 S Grand Blvd
Saint Louis, MO 63118-3418
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011016137 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan P Morris | Chiropractor | Current | Accepting new patients |
| Daniel Oliver Reiter | Chiropractor | Past | Accepting new patients |
Locations
4077 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 664-3200
3611 S Grand Blvd
#200
Saint Louis, MO 63118
Phone (314) 664-3200
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1174822555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4077 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183418",
"telephone_number": "314-664-3200",
"fax_number": "314-664-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4077 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183418",
"telephone_number": "314-664-3200",
"fax_number": "314-664-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MORGAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2011016137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.