Organization Active NPI

Green Life Chiropractic & Wellness, LLC

  • Chiropractor
  • Annapolis, MD
National Provider Identifier
1013257120
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03711 Issued in MD
Legal business name
GREEN LIFE CHIROPRACTIC & WELLNESS, LLC
Practice address
45 Old Solomons Island Rd
Suite 102
Annapolis, MD 21401-3858
Phone
(410) 224-4348
Fax
(410) 224-4732
NPI assigned
Feb 26, 2013
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Miss Mary Elizabeth Steele, D.C.NPI 1275873259
Title
Owner
Phone
(410) 224-4348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 03710 MD
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 03711 MD Primary

Addresses

Primary practice location

45 Old Solomons Island Rd
Suite 102
Annapolis, MD 21401-3858

Mailing address

45 Old Solomons Island Rd
Suite 102
Annapolis, MD 21401-3858
Phone (410) 224-4348

National Provider Directory

National Provider Directory

Locations

45 Old Solomons Island Rd
Ste 102
Annapolis, MD 21401
Phone (410) 224-4348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1013257120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013858",
            "telephone_number": "410-224-4348",
            "fax_number": "410-224-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013858",
            "telephone_number": "410-224-4348",
            "fax_number": "410-224-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIFE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-224-4348",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03710",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.