Chiropractic and Rehab Associates of Dallas, PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC007819L Issued in PA

Legal business name

CHIROPRACTIC AND REHAB ASSOCIATES OF DALLAS, PC

Practice address

165 S Memorial Hwy
Trucksville, PA 18708-1418

Phone

(570) 696-4346

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Evan Morris, D.C.NPI 1417911637

Title

Vice President

Phone

(570) 696-4346

Specialties & licenses 2

Addresses

Other identifiers 8

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Evan Morris, D.C.

  • Chiropractor
  • Trucksville, PA
  • NPI 1417911637
  Authorized official Same address or phone

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598982308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S MEMORIAL HWY",
            "city": "TRUCKSVILLE",
            "state": "PA",
            "postal_code": "187081418",
            "telephone_number": "570-696-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S MEMORIAL HWY",
            "city": "TRUCKSVILLE",
            "state": "PA",
            "postal_code": "187081418",
            "telephone_number": "570-696-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND REHAB ASSOCIATES OF DALLAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-696-4346",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC009260",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC007819L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-DR.MORRIS",
            "identifier": "7897615",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTPRIORITY-DR.MORRIS",
            "identifier": "818354",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD-DR. MORRIS",
            "identifier": "1630101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-DR. MILLER",
            "identifier": "7658428",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD-DR.MILLER",
            "identifier": "037425",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018655130002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTPRIORITY-DR.MILLER",
            "identifier": "814279",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010922510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kati Autolitano
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• Back Mountain Neurodiagnostics, PC
• James Clemens Definnis, DMD
• Brandon Michael Jayne, MSPT
• Angela Lynn
• Mark Evan Morris, D.C.
• Jordan Simon, DMD

• Rehabilitation Chiropractor in Trucksville, PA
• Providers in Trucksville, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.