Individual provider Active NPI

Kristy Michelle Morgan, D.C

  • Chiropractor
  • Avondale, AZ
National Provider Identifier
1912972696
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8050 Issued in AZ
Practice address
12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505
Phone
(623) 935-9920
Fax
(623) 935-9925
NPI assigned
Feb 17, 2006
Last updated
Aug 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009240 PA
Chiropractor 111N00000X 8050 AZ Primary
Rehabilitation Chiropractor 111NR0400X 4707 AZ

Addresses

Primary practice location

12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505

Mailing address

PO Box 2954
Phoenix, AZ 85062-2954
Phone (602) 889-5833

Other identifiers 2

IdentifierTypeStateIssuer
1009527700001MedicaidPA
0082072S1KOtherPAPROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313001829 TX Practitioner - Chiropractic 6709851108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

483 W Seed Farm Rd
Sacaton, AZ 85147-5000

PO Box
Sacaton, AZ 85147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4707AZMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Regional Behavioral Health Authority CurrentSince Feb 12, 2026 Accepting new patients
Gila River Health Care CurrentSince Feb 12, 2026 Accepting new patients
KM Healthcare LLC Chiropractor PastSince Dec 28, 2011 Accepting new patients

Organizations & group practices 10

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1912972696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2954",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850622954",
            "telephone_number": "602-889-5833",
            "fax_number": "602-889-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD STE B210",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929505",
            "telephone_number": "623-935-9920",
            "fax_number": "623-935-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KRISTY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009240",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8050",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009527700001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "0082072S1K",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.