Organization Active NPI

Morris Chiropractic Clinic, Chartered

Doing business as HealthSource of Morris

  • Chiropractor
  • Morris, MN
National Provider Identifier
1265640544
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2544 Issued in MN
Legal business name
MORRIS CHIROPRACTIC CLINIC, CHARTERED
Doing business as
HealthSource of Morris
Practice address
210 Atlantic Ave
Morris, MN 56267-1321
Phone
(320) 589-1541
NPI assigned
May 18, 2007
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Dr. Allen Monroe, D.C.NPI 1699980763
Title
President
Phone
(320) 589-1541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2544 MN Primary

Addresses

Primary practice location

210 Atlantic Ave
Morris, MN 56267-1321

Mailing address

210 Atlantic Ave
Morris, MN 56267-1321

Other names 1

  • HealthSource of Morris Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614001305 MN Part B Supplier - Clinic/Group Practice 8820072317 Receives reassigned benefits from 1 practitioner
Practice locations: Morris, MN

National Provider Directory

National Provider Directory

Locations

215 Atlantic Ave
Morris, MN 56267
Phone (320) 589-1541

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1265640544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ATLANTIC AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ATLANTIC AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671321",
            "telephone_number": "320-589-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS CHIROPRACTIC CLINIC, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-589-1541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Morris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morris, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.