Individual provider Active NPI

Morgan Anita Cark, DC

  • Chiropractor
  • Eureka, CA
National Provider Identifier
1831755404
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34536 Issued in CA
Practice address
1459 Myrtle Ave
Eureka, CA 95501-1304
Phone
(352) 445-9287
Fax
(707) 442-1084
NPI assigned
May 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34536 CA Primary

Addresses

Primary practice location

1459 Myrtle Ave
Eureka, CA 95501-1304

Mailing address

1459 Myrtle Ave
Eureka, CA 95501-1304
Phone (352) 445-9287

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.carkchiroclinic.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408000644 DC Practitioner - Chiropractic 4981938982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34536CAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Chiropractic, Inc. Chiropractor Past Accepting new patients
Koopmans Chiropractic, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1831755404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011304",
            "telephone_number": "352-445-9287",
            "fax_number": "707-442-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011304",
            "telephone_number": "352-445-9287",
            "fax_number": "707-442-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARK",
        "first_name": "MORGAN",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.carkchiroclinic.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1459 Myrtle Ave",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955011304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.