Individual provider Active NPI

Steven M Green, D.C.

  • Chiropractor
  • Burke, VA
National Provider Identifier
1093031213
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000498 Issued in VA
Practice address
8993A Cotswold Dr
Burke, VA 22015-1601
Phone
(703) 425-5550
Fax
(703) 425-5558
NPI assigned
Apr 13, 2010
Last updated
Apr 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000498 VA Primary

Addresses

Primary practice location

8993A Cotswold Dr
Burke, VA 22015-1601

Mailing address

8993A Cotswold Dr
Burke, VA 22015-1601
Phone (703) 425-5550

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

LicenseStateTypeSpecialty
0104000498VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Headache and Chronic Pain Center, PLLC Chiropractor CurrentSince Oct 10, 2018 Accepting new patients
Nova Headache & Chronic Pain Center Current Accepting new patients
Rolling Valley Chiropractic Centre, PC Chiropractor PastSince Feb 2, 2009 Accepting new patients

Locations

8993A Cotswold Dr
Burke, VA 22015
Phone (703) 425-5550

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1093031213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8993A COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151601",
            "telephone_number": "703-425-5550",
            "fax_number": "703-425-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8993A COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151601",
            "telephone_number": "703-425-5550",
            "fax_number": "703-425-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.