Individual provider Active NPI

Morgan Paul Mullican, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1467532747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4859 Issued in TX
Practice address
4222 Trinity Mills Rd
Suite 114
Dallas, TX 75287-7603
Phone
(972) 248-3101
Fax
(972) 248-3615
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4859 TX Primary

Addresses

Primary practice location

4222 Trinity Mills Rd
Suite 114
Dallas, TX 75287-7603

Mailing address

4222 Trinity Mills Rd
Suite 114
Dallas, TX 75287-7603
Phone (972) 248-3101

Other identifiers 1

IdentifierTypeStateIssuer
8A1762OtherTXBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4859TXMDBehavioral Analyst
DC4859TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab & Wellness 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467532747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS RD",
            "address_2": "SUITE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877603",
            "telephone_number": "972-248-3101",
            "fax_number": "972-248-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS RD",
            "address_2": "SUITE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877603",
            "telephone_number": "972-248-3101",
            "fax_number": "972-248-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICAN",
        "first_name": "MORGAN",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8A1762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.