Stephanie Louise Greenreich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00033796 Issued in WA

Practice address

24837 104TH Ave SE
Suite 100
Kent, WA 98030-6800

Phone

(253) 854-7700

Fax

(253) 854-2986

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie Louise Greenreich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

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.

• Stephanie Pollock, Inc.

  • Chiropractor
  • Kent, WA
  • NPI 1790948214
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1013049345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24837 104TH AVE SE",
            "address_2": "SUITE 100",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306800",
            "telephone_number": "253-854-7700",
            "fax_number": "253-854-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24837 104TH AVE SE",
            "address_2": "SUITE 100",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306800",
            "telephone_number": "253-854-7700",
            "fax_number": "253-854-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENREICH",
        "first_name": "STEPHANIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GAB37373",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GREENREICH",
            "middle_name": "LOUISE",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard S Green, OD
• Sasheta Green
• Teri L Green, LMP
• Alrae R Greene, PERSONAL CARE ATT.
• Pamela S. Greene
• Amanda Rutherford Greer
• Jason Gresham
• Jaspinder Singh Grewal
• Mandeep Grewal, RN
• Darnell Eugene Griffen, LICSW

• Chiropractor in Kent, WA
• Providers in Kent, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.