Matthew Stuart Green, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC28669 Issued in CA

Practice address

6232 La Salle Ave
Oakland, CA 94611-2804

Phone

(510) 200-9000

Fax

(510) 788-4034

NPI assigned

Jun 4, 2007

Last updated

Jul 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Curtis M. Martin Chiropractic, Inc

  • Preferred Provider Organization
  • Concord, CA
  • NPI 1588856082
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1124220793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 LA SALLE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112804",
            "telephone_number": "510-200-9000",
            "fax_number": "510-788-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 LA SALLE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112804",
            "telephone_number": "510-200-9000",
            "fax_number": "510-788-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MATTHEW",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC28669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Green
• Katera Raeshelle Green
• Kendalyn Kaily Green
• Leah Marie Green, LVN
• Marlon Green II
• Mikeia Deajanae Green, MD
• Monica Green
• Monika Green, MFT
• Pamela Green
• Ruth S Green, NP

• Sports Physician Chiropractor in Oakland, CA
• Providers in Oakland, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.