Taylor Daniel Mortlock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60210509 Issued in WA

Practice address

1303 S Grand Blvd
Spokane, WA 99202-1136

Phone

(509) 838-2225

Fax

(509) 755-2225

NPI assigned

Mar 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applied Healthcare Associates, P.SGroup PAC ID 1557331899, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Applied Healthcare Associates, P.S

  • Chiropractor
  • Spokane, WA
  • NPI 1265504336
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1699074849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "509-838-2225",
            "fax_number": "509-755-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "509-838-2225",
            "fax_number": "509-755-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTLOCK",
        "first_name": "TAYLOR",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-26",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60210509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE CHIROPRACTOR LICENSE",
            "identifier": "CH60210509",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bruce Morse
• Julieann Shaffer Morse, M.ED., OTR/L
• Francie Mortensen, ARNP
• Xavier Max Mortensen, MD
• Isaiah Mortlock
• Elizabeth Morton
• George L Morton, MD
• Keith A Morton, MD
• Shelby Renee Morton
• Tanisha Kamille Morton, M.D.

• Chiropractor in Spokane, WA
• Providers in Spokane, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.