Organization Active NPI

Morrison Chiropractic, Inc.

  • Chiropractor
  • Clarksville, IN
National Provider Identifier
1487857876
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001243A Issued in IN
Legal business name
MORRISON CHIROPRACTIC, INC.
Doing business as
MORRISON CHIROPRACTIC, INC.
Practice address
209 E Lewis and Clark Pkwy
Clarksville, IN 47129-1723
Phone
(812) 941-9930
Fax
(812) 941-9940
NPI assigned
Jun 6, 2007
Reactivated
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Dr. Kirk D. Morrison, DC, DABCONPI 1447233044
Title
Ceo
Phone
(812) 941-9930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001243A IN Primary

Addresses

Primary practice location

209 E Lewis and Clark Pkwy
Clarksville, IN 47129-1723

Mailing address

209 E Lewis and Clark Pkwy
Clarksville, IN 47129-1723
Phone (812) 941-9930

Other identifiers 6

IdentifierTypeStateIssuer
100076550MedicaidIN
214844100OtherINACS DEPT.OF LABOR
411508205OtherINHSM
000000042675OtherINANTHEM BCBS
1206812OtherINCHA
DG4240OtherINRRMR

Other names 1

  • MORRISON CHIROPRACTIC, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000004 IN Part B Supplier - Clinic/Group Practice 3870760499 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, IN

National Provider Directory

National Provider Directory

Locations

209 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 941-9930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1487857876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291723",
            "telephone_number": "812-941-9930",
            "fax_number": "812-941-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291723",
            "telephone_number": "812-941-9930",
            "fax_number": "812-941-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-10-18",
        "deactivation_date": "2007-12-07",
        "reactivation_date": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-941-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DABCO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001243A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100076550",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS DEPT.OF LABOR",
            "identifier": "214844100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSM",
            "identifier": "411508205",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000042675",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1206812",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMR",
            "identifier": "DG4240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORRISON CHIROPRACTIC, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.