Individual provider Active NPI

Richard Gerald Morris III, D.C.

  • Chiropractor
  • Dutch Harbor, AK
National Provider Identifier
1306114822
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
51 Issued in AK
Practice address
204 Biorka Drive
1St Floor
Dutch Harbor, AK 99692
Phone
(907) 581-4689
Fax
(907) 581-6956
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 51 AK Primary

Addresses

Primary practice location

204 Biorka Drive
1St Floor
Dutch Harbor, AK 99692

Mailing address

PO Box 921028
Dutch Harbor, AK 99692-1028
Phone (907) 581-4689

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

State licenses

LicenseStateTypeSpecialty
51AKMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1306114822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921028",
            "city": "DUTCH HARBOR",
            "state": "AK",
            "postal_code": "996921028",
            "telephone_number": "907-581-4689",
            "fax_number": "907-581-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BIORKA DRIVE",
            "address_2": "1ST FLOOR",
            "city": "DUTCH HARBOR",
            "state": "AK",
            "postal_code": "99692",
            "telephone_number": "907-581-4689",
            "fax_number": "907-581-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "RICHARD",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dutch Harbor, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.