Organization Active NPI

Morton Chiropactic Clinic

  • Chiropractor
  • Hernando, MS
National Provider Identifier
1346468980
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
122 Issued in MS
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

Updated by the provider on Aug 18, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 122 MS Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038004179 IL
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1094 MS
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0115111MedicaidMS
3260206OtherALCIGNA
4474591OtherMSAETNA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.