Individual provider Active NPI

William David Morrissey, D.C.

  • Chiropractor
  • Santa Teresa, NM
National Provider Identifier
1679926117
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2153 Issued in NM
Practice address
101 Livingston Loop Ste C4
Santa Teresa, NM 88008-9753
Phone
(915) 833-7797
Fax
(915) 833-7239
NPI assigned
Jul 20, 2016
Last updated
Apr 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2153 NM Primary

Addresses

Primary practice location

101 Livingston Loop Ste C4
Santa Teresa, NM 88008-9753

Mailing address

101 Livingston Loop Ste C4
Santa Teresa, NM 88008-9753
Phone (915) 833-7797

Other practice location 1

6955 N Mesa St Ste 302C
El Paso, TX 79912-4444
Phone (915) 833-7797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521002565 NM Practitioner - Chiropractic 8325335573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

312 N Broadway St
Truth Or Consequences, NM 87901-2834
Phone (575) 744-5294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2153NMMDChiropractor
13268TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Health and Wellness LLC Chiropractor CurrentSince Apr 1, 2019 Accepting new patients
Mountain Movers Family Therapy, PC CurrentSince Dec 1, 2024 Accepting new patients

Locations

101 Livingston Loop
Ste C4
Santa Teresa, NM 88008
Phone (915) 833-7797

312 N Broadway St
Truth Or Consequences, NM 87901
Phone (575) 297-0157

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1679926117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE C4",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "915-833-7797",
            "fax_number": "915-833-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE C4",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "915-833-7797",
            "fax_number": "915-833-7239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6955 N Mesa St Ste 302C",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799124444",
            "country_code": "US",
            "telephone_number": "915-833-7797",
            "fax_number": "915-833-7239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISSEY",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.