Individual provider Active NPI

Terry V. Morris, MD

  • Specialist
  • Blue Springs, MO
National Provider Identifier
1487657284
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MDR6994 Issued in MO
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

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07999015OtherMOBCBS
160011389OtherMOMEDICARE RR

Other names 1

  • None None Former name

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

LicenseStateTypeSpecialty
MDR6994MOMDSpecialist

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.

Verify at the official NPI Registry.