Luther Dwayne Morris, D. C.
Individual provider Active NPI Chiropractor · Santa Clara, NM
NPI 1871508648 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1871508648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- NM 529 (NM)
- Practice address
- 12087 Hwy 180 E.
Santa Clara, NM 88026 - Phone
- (505) 537-2976
- Fax
- (505) 537-2976
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100701000690 | NM | Practitioner - Chiropractic | 9638200892 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 529 | NM | MD | Chiropractor |
| 529 | NM | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NM 529 | NM | Yes |
Addresses
Primary practice location
12087 Hwy 180 E.
Santa Clara, NM 88026
Mailing address
12087 Hwy 180 & 152, Santa Clara, NM
P.O. Box 770
Bayard, NM 88043
Phone (505) 537-2976
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201007042 | Other | NM | PRESBYTERIAN |
| NMOOK789 | Other | NM | BLUE CROSS BLUE SHIELD |
| 648616 | Other | NM | UNITED HEALTHCARE |
| 350018216 | Other | NM | RAIL ROAD |
| 0000T8736 | Medicaid | NM |
Other providers in Santa Clara, NM
- Fort Bayard Medical Center Department of Health
- Ft Bayard Medical Center Department of Health
- Hidalgo Medical Services
- Samuel Joseph Limon
- Morris Chiropractic Center PA
- Rio Medical Transport, LLC
- State of New Mexico
- Osagie Robert Usen
All providers in Santa Clara, NM · Chiropractor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.