Organization Active NPI

Morrison Chiropractic

  • Chiropractor
  • Caldwell, ID
National Provider Identifier
1871774802
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA702 Issued in ID
Legal business name
MORRISON CHIROPRACTIC
Practice address
309 E Logan St
Caldwell, ID 83605-4863
Phone
(208) 455-0678
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Roland Vern Morrison, D.C.
Title
Owner
Phone
(208) 455-0678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA702 ID Primary

Addresses

Primary practice location

309 E Logan St
Caldwell, ID 83605-4863

Mailing address

309 E Logan St
Caldwell, ID 83605-4863
Phone (208) 455-0678

Other identifiers 2

IdentifierTypeStateIssuer
000010020180OtherIDBLUE SHIELD
C702-8OtherIDBLUE CROSS OF IDAHO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1871774802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E LOGAN ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054863",
            "telephone_number": "208-455-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E LOGAN ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054863",
            "telephone_number": "208-455-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "VERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-455-0678",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010020180",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C702-8",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.