NPIMap

Organization Active NPI

Morlock Chiropractic Center

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1710084090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1760 Issued in MN
Legal business name
MORLOCK CHIROPRACTIC CENTER
Practice address
1602 30TH Ave S
Moorhead, MN 56560-5152
Phone
(218) 233-4402
Fax
(218) 233-1026
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregg Morlock, D.C.NPI 1093813677
Title
Owner
Phone
(218) 233-4402

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 1760 MN Primary

Addresses

Primary practice location

1602 30TH Ave S
Moorhead, MN 56560-5152

Mailing address

1602 30TH Ave S
Moorhead, MN 56560-5152
Phone (218) 233-4402

Other identifiers 3

IdentifierTypeStateIssuer
14599OtherNDNORTH DAKOTA MEDICAID
CP9044OtherRAILROAD MEDICARE
01394001OtherNDBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710084090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "218-233-4402",
            "fax_number": "218-233-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "218-233-4402",
            "fax_number": "218-233-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORLOCK CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORLOCK",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-233-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA MEDICAID",
            "identifier": "14599",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP9044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01394001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • 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.