Active NPI
Clyde E. Morgan Jr., D.C.
- Chiropractor
- Olathe, KS
National Provider Identifier
1750663530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104618
- Practice address
- 1467 E 151St St
Olathe, KS 66062-2854 - Phone
- (913) 764-2268
- Fax
- (913) 273-0839
- NPI assigned
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104618 | KS | Primary |
Addresses
Primary practice location
1467 E 151St St
Olathe, KS 66062-2854
Mailing address
PO Box 109
Rantoul, KS 66079-0109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104618 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac Chiropractic & Acupuncture, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Olathe, KS
- NPI 1588946313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1750663530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 109",
"city": "RANTOUL",
"state": "KS",
"postal_code": "660790109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1467 E 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660622854",
"telephone_number": "913-764-2268",
"fax_number": "913-273-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "CLYDE",
"middle_name": "E.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0104618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.