Jeffrey Ray Greenlee Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33938 Issued in CA

Practice address

2245 Fenton Pkwy Ste 109
San Diego, CA 92108-4737

Phone

(619) 624-2424

NPI assigned

Sep 4, 2018

Sex

Male

Sole proprietor

No

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 OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate ChiropracticGroup PAC ID 7113391483, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elevate Chiropractic

  • Chiropractor
  • Bellefontaine, OH
  • NPI 1679293906
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1033691241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CHEROKEE AVE APT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163680",
            "telephone_number": "858-699-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 FENTON PKWY STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084737",
            "telephone_number": "619-624-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "JEFFREY",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Greenfield, PT, DPT
• Jessica Greenfield, DACM
• Marc Greenfield, LCSW
• Richard Greenfield, M.D.
• Rebecca Greenhouse
• Greenroads Diagnostics Inc
• Andrew Jeffrey Greenspan, MD
• Ronald Greenspan, DDS
• Jeffrey Greenstein
• Sarah Greenstein, LCSW

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.