Organization Active NPI

Morack Chiropractic Center, P.C.

  • Clinic/Center
  • Independence, MO
National Provider Identifier
1811186372
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
006665 Issued in MO
Legal business name
MORACK CHIROPRACTIC CENTER, P.C.
Practice address
4014A S Lynn CT Dr
Independence, MO 64055-3360
Phone
(816) 252-0800
Fax
(816) 252-1055
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Michael M Morack, D.C.NPI 1235197831
Title
Owner/Chiropractor
Phone
(816) 252-0800

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
Clinic/Center 261Q00000X 006665 MO Primary

Addresses

Primary practice location

4014A S Lynn CT Dr
Independence, MO 64055-3360

Mailing address

4014A S Lynn CT Dr
Independence, MO 64055-3360
Phone (816) 252-0800

Other identifiers 1

IdentifierTypeStateIssuer
1235197831OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000140 MO Part B Supplier - Clinic/Group Practice 6507033552 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Springs, MO

National Provider Directory

National Provider Directory

Locations

1984 N 7 Hwy
Blue Springs, MO 64014
Phone (816) 427-5233

4014 S Lynn Ct Dr
Ste A
Independence, MO 64055
Phone (816) 252-0800

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1811186372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014A S LYNN CT DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553360",
            "telephone_number": "816-252-0800",
            "fax_number": "816-252-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014A S LYNN CT DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553360",
            "telephone_number": "816-252-0800",
            "fax_number": "816-252-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORACK CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MORACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "816-252-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "006665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235197831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.