Mark Evan Morris, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009260L Issued in PA

Practice address

165 S Memorial Hwy
Trucksville, PA 18708-1418

Phone

(570) 696-4346

Fax

(570) 696-4335

NPI assigned

Apr 14, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark E Morris and Shawn W MillerGroup PAC ID 1850624842, 2 clinicians

Tunkhannock Chiropractic, LLCGroup PAC ID 6406939180, 2 clinicians

Practice addresses (Care Compare)

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.

• Tunkhannock Chiropractic, LLC

  • Rehabilitation Chiropractor
  • Tunkhannock, PA
  • NPI 1366625113
  Medicare reassignment Care Compare group NPD Authorized official
• Mark E Morris & Shawn W Miller

  dba Chiropractic and Rehab Associates of Dallas

  • Chiropractor
  • Shavertown, PA
  • NPI 1700441565
  Medicare reassignment Care Compare group NPD
• Back Mountain Neurodiagnostics, PC

  • Neurology Chiropractor
  • Trucksville, PA
  • NPI 1548487218
  Authorized official Same address or phone
• Chiropractic and Rehab Associates of Dallas, PC

  • Rehabilitation Chiropractor
  • Trucksville, PA
  • NPI 1598982308
  Authorized official Same address or phone

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417911637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S MEMORIAL HWY",
            "city": "TRUCKSVILLE",
            "state": "PA",
            "postal_code": "187081418",
            "telephone_number": "570-696-4346",
            "fax_number": "570-696-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S MEMORIAL HWY",
            "city": "TRUCKSVILLE",
            "state": "PA",
            "postal_code": "187081418",
            "telephone_number": "570-696-4346",
            "fax_number": "570-696-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MARK",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009260L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010922510001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1630101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "363453",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Back Mountain Neurodiagnostics, PC
• Chiropractic and Rehab Associates of Dallas, PC
• James Clemens Definnis, DMD
• Brandon Michael Jayne, MSPT
• Angela Lynn
• Jordan Simon, DMD
• Trucksville Pharmacy LLC (Trucksville Pharmacy)

• Chiropractor in Trucksville, PA
• Providers in Trucksville, PA by specialty
• Chiropractor in Pennsylvania

• 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.

Verify at the official NPI Registry.