Organization Active NPI

Morlock Chiropractic Center LTD

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1336348283
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MORLOCK CHIROPRACTIC CENTER LTD
Practice address
1602 30TH Ave S
Moorhead, MN 56560-5152
Phone
(218) 233-4402
Fax
(218) 233-1026
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Gregg P Morlock, D.C.
Title
President
Phone
(218) 233-4402

Specialties & licenses 1

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

Addresses

Primary practice location

1602 30TH Ave S
Moorhead, MN 56560-5152

Mailing address

1602 30TH Ave S
Moorhead, MN 56560-5152
Phone (218) 233-4402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070802000425 MN Part B Supplier - Clinic/Group Practice 9638260888 Receives reassigned benefits from 1 practitioner
Practice locations: Moorhead, MN

National Provider Directory

National Provider Directory

Locations

1602 30th Ave S
Moorhead, MN 56560
Phone (218) 233-4402

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1336348283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "218-233-4402",
            "fax_number": "218-233-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "218-233-4402",
            "fax_number": "218-233-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORLOCK CHIROPRACTIC CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MORLOCK",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-233-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.