Organization Active NPI

Morris Chiropractic

  • Chiropractor
  • Storm Lake, IA
National Provider Identifier
1679161772
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MORRIS CHIROPRACTIC
Practice address
1411 E Lakeshore Dr
Storm Lake, IA 50588-2683
Phone
(712) 346-8922
NPI assigned
Jan 5, 2021
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Dr. Tanner Morris, DCNPI 1790311165
Title
Owner
Phone
(712) 346-8922

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 Primary

Addresses

Primary practice location

1411 E Lakeshore Dr
Storm Lake, IA 50588-2683

Mailing address

425 Otsego St
Storm Lake, IA 50588-1739
Phone (712) 346-8922

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tannerm_5@icloud.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127001762 IA Part B Supplier - Clinic/Group Practice 7618381971 Receives reassigned benefits from 1 practitioner
Practice locations: Storm Lake, IA

National Provider Directory

National Provider Directory

Locations

1411 E Lakeshore Dr
Storm Lake, IA 50588
Phone (712) 346-8922

1411 E Lakeshore Dr
Ste A
Storm Lake, IA 50588
Phone (712) 346-8922

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1679161772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OTSEGO ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881739",
            "telephone_number": "712-346-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E LAKESHORE DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882683",
            "telephone_number": "712-346-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-346-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tannerm_5@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1411 E Lakeshore Dr",
            "city": "Storm Lake",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505882683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.