Active NPI
Robert Allen Morris, D.C.
- Chiropractor
- Hollidaysburg, PA
National Provider Identifier
1285616706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- PA-2558L
- Practice address
- 240 Bristol LN
Hollidaysburg, PA 16648-2935 - Phone
- (814) 695-6003
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 | PA-2558L | PA | Primary |
Addresses
Primary practice location
240 Bristol LN
Hollidaysburg, PA 16648-2935
Mailing address
240 Bristol LN
Hollidaysburg, PA 16648-2935
Phone (814) 695-6003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009074400002 | Medicaid | PA | |
| 698149 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-2558L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285616706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 BRISTOL LN",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166482935",
"telephone_number": "814-695-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 BRISTOL LN",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166482935",
"telephone_number": "814-695-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "PA-2558L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009074400002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "698149",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollidaysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.