Active NPI
Jay Morgan Harrison, D.C.
- Chiropractor
- Grapevine, TX
National Provider Identifier
1891967873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11382
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69976151202 | UT | MD | Chiropractor |
| 0104556601 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Family Health Center PLLC | Chiropractor | Current | Accepting new patients |
| Texas Health Clinics 3 PLLC | Chiropractor | Past | Accepting new patients |
| North Ogden Chiropractic, LLC | Chiropractor | Past | 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.
-
- Chiropractor
- Grapevine, TX
- NPI 1891136610
-
- Chiropractor
- McKinney, TX
- NPI 1093038366
-
- Clinic/Center
- North Ogden, UT
- NPI 1336301183
-
- Chiropractor
- North Ogden, UT
- NPI 1255636163
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.