Individual provider Active NPI

Jay Morgan Harrison, D.C.

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1891967873
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11382 Issued in TX
Practice address
2637 Ira E Woods Ave
Suite 300
Grapevine, TX 76051-9013
Phone
(817) 310-0301
Fax
(817) 423-6701
NPI assigned
Mar 30, 2008
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556601 VA
Chiropractor 111N00000X 11382 TX Primary
Chiropractor 111N00000X 69976151202 UT

Addresses

Primary practice location

2637 Ira E Woods Ave
Suite 300
Grapevine, TX 76051-9013

Mailing address

2637 Ira E Woods Ave
Suite 300
Grapevine, TX 76051-9013
Phone (817) 310-0301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000121 TX Practitioner - Chiropractic 2466513700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2637 Ira E Woods Ave
Suite 300
Grapevine, TX 76051-9013
Phone (817) 310-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69976151202UTMDChiropractor
0104556601VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Family Health Center PLLC Chiropractor CurrentSince Dec 15, 2013 Accepting new patients
Texas Health Clinics 3 PLLC Chiropractor Past Accepting new patients
North Ogden Chiropractic, LLC Chiropractor PastSince Feb 10, 2011 Accepting new patients
North Ogden Chiropractic & Wellness, L.L.C. Past Accepting new patients
Christy Porterfield PA Chiropractor Past Accepting new patients

Locations

2637 Ira E Woods Ave
Ste 300
Grapevine, TX 76051
Phone (817) 310-0301

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1891967873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE",
            "address_2": "SUITE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519013",
            "telephone_number": "817-310-0301",
            "fax_number": "817-423-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE",
            "address_2": "SUITE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519013",
            "telephone_number": "817-310-0301",
            "fax_number": "817-423-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JAY",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-30",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556601",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11382",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "69976151202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.