Active NPI
Jack L Morlan
- Specialist
- West Des Moines, IA
National Provider Identifier
1487094488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A9282
- Practice address
- 1900 Grand Ave
West Des Moines, IA 50265-4217 - Phone
- (515) 457-9534
- Fax
- (515) 273-5166
- NPI assigned
- Jul 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A9282 | Primary |
Addresses
Primary practice location
1900 Grand Ave
West Des Moines, IA 50265-4217
Mailing address
1900 Grand Ave
West Des Moines, IA 50265-4217
Phone (515) 457-9534
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1487094488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 GRAND AVE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502654217",
"telephone_number": "515-457-9534",
"fax_number": "515-273-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GRAND AVE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502654217",
"telephone_number": "515-457-9534",
"fax_number": "515-273-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLAN",
"first_name": "JACK",
"middle_name": "L",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "A9282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.