Active NPI
Morton Chiropactic Clinic
- Chiropractor
- Hernando, MS
National Provider Identifier
1346468980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 122
- Legal business name
- MORTON CHIROPACTIC CLINIC
- Practice address
- 55 East Commerce St.
Hernando, MS 38632-2215 - Phone
- (662) 429-6102
- Fax
- (662) 429-6044
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Vernon Morton, D.C.
- Title
- Director
- Phone
- (662) 429-6102
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 122 | MS | Primary |
| Chiropractor | 111N00000X | 038004179 | IL | |
| Chiropractor | 111N00000X | 1094 | MS | |
| Chiropractor | 111N00000X | 038010451 | IL |
Addresses
Primary practice location
55 East Commerce St.
Hernando, MS 38632-2215
Mailing address
55 East Commerce St.
Hernando, MS 38632-2215
Phone (662) 429-6102
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115111 | Medicaid | MS | |
| 3260206 | Other | AL | CIGNA |
| 4474591 | Other | MS | AETNA |
National Provider Directory
National Provider DirectoryLocations
55 E Commerce St
Hernando, MS 38632
Phone (662) 429-6102
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hernando, MS
- NPI 1366502593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1346468980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EAST COMMERCE ST.",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322215",
"telephone_number": "662-429-6102",
"fax_number": "662-429-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 EAST COMMERCE ST.",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322215",
"telephone_number": "662-429-6102",
"fax_number": "662-429-6044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORTON CHIROPACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "MORTON",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "VERNON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "662-429-6102",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MS",
"license": "122",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038004179",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MS",
"license": "1094",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038010451",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0115111",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3260206",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4474591",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hernando, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.