Active NPI
Terry V. Morris, MD
- Specialist
- Blue Springs, MO
National Provider Identifier
1487657284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MDR6994
- Practice address
- 206 NW Mock Ave
Suite 200
Blue Springs, MO 64014-2507 - Phone
- (816) 461-8650
- Fax
- (816) 461-8651
- NPI assigned
- May 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MDR6994 | MO | Primary |
Addresses
Primary practice location
206 NW Mock Ave
Suite 200
Blue Springs, MO 64014-2507
Mailing address
206 NW Mock Ave
Ste 200
Blue Springs, MO 64014-2507
Phone (816) 641-8650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07999015 | Other | MO | BCBS |
| 160011389 | Other | MO | MEDICARE RR |
Other names 1
- None None
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR6994 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1487657284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 NW MOCK AVE",
"address_2": "STE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142507",
"telephone_number": "816-641-8650",
"fax_number": "816-641-8651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 NW MOCK AVE",
"address_2": "SUITE 200",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142507",
"telephone_number": "816-461-8650",
"fax_number": "816-461-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "TERRY",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "MDR6994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07999015",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "160011389",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NONE",
"last_name": "NONE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.