Organization Active NPI

Green Chiropractic & Wellness, PLLC

  • Chiropractor
  • Parkersburg, WV
National Provider Identifier
1083865109
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
565 Issued in WV
Legal business name
GREEN CHIROPRACTIC & WELLNESS, PLLC
Practice address
2710 Broadway Ext
Parkersburg, WV 26101-6856
Phone
(304) 485-0106
Fax
(304) 485-5671
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Adam Wayne Green, D.C.
Title
Owner
Phone
(304) 485-0106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 565 WV Primary

Addresses

Primary practice location

2710 Broadway Ext
Parkersburg, WV 26101-6856

Mailing address

2710 Broadway Ext
Parkersburg, WV 26101-6856
Phone (304) 485-0106

National Provider Directory

National Provider Directory

Locations

2710 Broadway Ext
Parkersburg, WV 26101
Phone (304) 485-0106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1083865109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 BROADWAY EXT",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016856",
            "telephone_number": "304-485-0106",
            "fax_number": "304-485-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 BROADWAY EXT",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016856",
            "telephone_number": "304-485-0106",
            "fax_number": "304-485-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIROPRACTIC & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-485-0106",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.