Susan Terry Green, DC,DACRB

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC15218 Issued in CA

Practice address

406 Cortland Ave
San Francisco, CA 94110-5538

Phone

(415) 818-3210

Fax

(415) 661-0826

NPI assigned

Jan 31, 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clouds Rest Healing Center Acupuncture & Chiropractic, Inc

  • Chiropractor
  • San Francisco, CA
  • NPI 1144680380
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1013054576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CORTLAND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105538",
            "telephone_number": "415-818-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CORTLAND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105538",
            "telephone_number": "415-818-3210",
            "fax_number": "415-661-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SUSAN",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "DC,DACRB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC15218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Lydell Green Sr.
• Melissa B Green
• Rosie Green
• Salim Green
• Stephanie Anne Green
• Treschanna Green
• Trinh M Green, MD
• Vanessa Marie Green, NP
• Victoria Green, M.A.
• Whitney Green

• Rehabilitation Chiropractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.