Organization Active NPI

Dr.William R. Morgan , Inc.

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1801829171
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6880 Issued in FL
Legal business name
DR.WILLIAM R. MORGAN , INC.
Practice address
3610 SE Federal Hwy
Suite 4
Stuart, FL 34997-4902
Phone
(772) 221-8969
Fax
(772) 221-8707
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Willaim R. Morgan
Title
Owner
Phone
(772) 221-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6880 FL Primary

Addresses

Primary practice location

3610 SE Federal Hwy
Suite 4
Stuart, FL 34997-4902

Mailing address

3610 SE Federal Hwy
Suite 4
Stuart, FL 34997-4902
Phone (772) 221-8969

Other identifiers 1

IdentifierTypeStateIssuer
3810585 00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070123000275 FL Part B Supplier - Clinic/Group Practice 5799786448 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

11774 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 545-1134

3610 SE Federal Hwy
Ste 4
Stuart, FL 34997
Phone (772) 221-8969

Practitioners & affiliated clinicians

Practitioners 1

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1801829171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SE FEDERAL HWY",
            "address_2": "SUITE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974902",
            "telephone_number": "772-221-8969",
            "fax_number": "772-221-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SE FEDERAL HWY",
            "address_2": "SUITE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974902",
            "telephone_number": "772-221-8969",
            "fax_number": "772-221-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.WILLIAM R. MORGAN , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-221-8969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810585 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.