Active NPI
Clay Robert Morton, D.C.
- Chiropractor
- Hernando, MS
National Provider Identifier
1366502593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1094
- Practice address
- 55 E Commerce St
Hernando, MS 38632-2215 - Phone
- (662) 429-6102
- Fax
- (662) 429-6044
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1094 | MS | Primary |
| Chiropractor | 111N00000X | IL |
Addresses
Primary practice location
55 E Commerce St
Hernando, MS 38632-2215
Mailing address
55 E Commerce St
Hernando, MS 38632-2215
Phone (662) 429-6102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070216000589 | MS | Practitioner - Chiropractic | 2365544616 | Practice locations: Hernando, MS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
55 E Commerce St
Hernando, MS 38632-2215
Phone (662) 429-6102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010451 | IL | MD | Chiropractor |
| 1094 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton Chiropactic Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Hernando, MS
- NPI 1346468980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366502593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E 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 E COMMERCE ST",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322215",
"telephone_number": "662-429-6102",
"fax_number": "662-429-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "CLAY",
"middle_name": "ROBERT",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1094",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.