Individual provider Active NPI

Megan Noel Green, D.C.

  • Chiropractor
  • Lexington Park, MD
National Provider Identifier
1104287879
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03870 Issued in MD
Practice address
22780 Three Notch Road
Lexington Park, MD 20653-1538
Phone
(301) 737-0662
Fax
(301) 737-0675
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03870 MD Primary

Addresses

Primary practice location

22780 Three Notch Road
Lexington Park, MD 20653-1538

Mailing address

22780 Three Notch Rd
Lexington Park, MD 20653-1538
Phone (301) 737-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000518 MD Practitioner - Chiropractic 6305135815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Green Chiropractic and WellnessGroup PAC ID 5698187466, 4 clinicians

Practice addresses (Care Compare)

22780 Three Notch Rd
Lexington Park, MD 20653-1538
Phone (301) 737-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Green Chiropractic & Wellness Chiropractor CurrentSince Jan 1, 2021 Accepting new patients

Locations

22780 Three Notch Rd
Lexington Pk, MD 20653
Phone (301) 737-0662

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1104287879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH ROAD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MEGAN",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.