Individual provider Active NPI

Matthew Ryan Greenberg, D.C.

  • Chiropractor
  • Oak Brook, IL
National Provider Identifier
1003927914
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010326 Issued in IL
Practice address
1100 Jorie Blvd Ste 318
Oak Brook, IL 60523-2242
Phone
(630) 828-2271
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010326 IL Primary

Addresses

Primary practice location

1100 Jorie Blvd Ste 318
Oak Brook, IL 60523-2242

Mailing address

1990 S Kristina LN
Round Lake, IL 60073-5622
Phone (847) 313-5198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000955 IL Practitioner - Chiropractic 5395769830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lombard Chiropractic, IncGroup PAC ID 0840222188, 4 clinicians

Practice addresses (Care Compare)

1127 S Main St
Lombard, IL 60148-3948
Phone (630) 629-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010326ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lombard Chiropractic, Inc Chiropractor CurrentSince Apr 1, 2021 Accepting new patients
West Suburban Wellness PastSince Apr 1, 2021 Accepting new patients
Chiro One Wellness Center of Woodstock LLC Chiropractor Past Accepting new patients

Locations

1127 S Main St
Lombard, IL 60148
Phone (630) 629-9500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1003927914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 S KRISTINA LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735622",
            "telephone_number": "847-313-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 318",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232242",
            "telephone_number": "630-828-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.