Gregory W Mortimer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3478 Issued in CO

Practice address

3560 S Bannock St
Englewood, CO 80110-3626

Phone

(303) 797-8850

Fax

(303) 957-2488

NPI assigned

Jun 7, 2007

Last updated

Apr 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MFCC Corp.

  dba FSP Family Wellness Center

  • Chiropractor
  • Englewood, CO
  • NPI 1063740397
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1376746149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S BANNOCK ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801103626",
            "telephone_number": "303-797-8850",
            "fax_number": "303-957-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 S BANNOCK ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801103626",
            "telephone_number": "303-797-8850",
            "fax_number": "303-957-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "GREGORY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Morrill
• Shane Morris, M.D.
• Carrie Morrison, PA-C
• David Morrison
• Rebecca L Mortenson - Meese, MD
• Katriona Mortimore, LCSW
• Anne Mosbach, BA
• Gabrielle Moseley
• Kenneth Alan Moss, MD
• Joseph Alexander Moulton, MD

• Chiropractor in Englewood, CO
• Providers in Englewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.