Individual provider Active NPI

Larry Ronald Morelock, CONTRACTOR

  • Home Modifications Contractor
  • Belton, TX
National Provider Identifier
1295951093
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Practice address
5259 Denmans Loop
Belton, TX 76513-4940
Phone
(512) 635-8108
Fax
(254) 939-6665
NPI assigned
Apr 18, 2007
Last updated
Sep 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X TX Primary

Addresses

Primary practice location

5259 Denmans Loop
Belton, TX 76513-4940

Mailing address

5259 Denmans Loop
Belton, TX 76513-4940
Phone (512) 635-8108

Other identifiers 1

IdentifierTypeStateIssuer
10066045OtherTXPROVIDER ID

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1295951093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5259 DENMANS LOOP",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765134940",
            "telephone_number": "512-635-8108",
            "fax_number": "254-939-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 DENMANS LOOP",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765134940",
            "telephone_number": "512-635-8108",
            "fax_number": "254-939-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELOCK",
        "first_name": "LARRY",
        "middle_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "CONTRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "10066045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.