Active NPI
Stacey L Green, D.C.
- Chiropractor
- South Miami, FL
National Provider Identifier
1013158534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8101
- Practice address
- 7800 Red Rd
Suite PH 325
South Miami, FL 33143-5528 - Phone
- (305) 667-8174
- Fax
- (305) 661-2327
- NPI assigned
- Mar 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8101 | FL | Primary |
Addresses
Primary practice location
7800 Red Rd
Suite PH 325
South Miami, FL 33143-5528
Mailing address
7800 Red Rd
Suite PH 325
South Miami, FL 33143-5528
Phone (305) 667-8174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8101 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Paul J Canali DC PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1013158534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 RED RD",
"address_2": "SUITE PH 325",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435528",
"telephone_number": "305-667-8174",
"fax_number": "305-661-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 RED RD",
"address_2": "SUITE PH 325",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435528",
"telephone_number": "305-667-8174",
"fax_number": "305-661-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "STACEY",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.