Individual provider Active NPI

Steven H Greenberg, D.C.

  • Chiropractor
  • Port St John, FL
National Provider Identifier
1134592892
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11689 Issued in FL
Practice address
7075 N US Highway 1
Suite 100
Port St John, FL 32927-5216
Phone
(321) 268-6764
Fax
(321) 268-6366
NPI assigned
Nov 3, 2015
Last updated
Feb 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11689 FL Primary

Addresses

Primary practice location

7075 N US Highway 1
Suite 100
Port St John, FL 32927-5216

Mailing address

805 Century Medical Dr
Suite 100
Titusville, FL 32796-2100
Phone (321) 268-6764

Other identifiers 1

IdentifierTypeStateIssuer
016366400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180320002727 MI Practitioner - Chiropractic 0547562753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 Pinetree Rd
Suite 101
Lansing, MI 48911-4286
Phone (517) 574-4291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Aug 8, 2021 Accepting new patients
Chiropractic Professional Center, PLLC Chiropractor CurrentSince Mar 1, 2018 Accepting new patients
Nathan J. Dunham, D.C., P.L.L.C. Chiropractor PastSince Mar 1, 2018 Accepting new patients
Center for Adolescent and Child Neurology PastSince Oct 15, 2014 Accepting new patients

Locations

5005 Port St John Pkwy
Ste 2200
Port St John, FL 32927
Phone (321) 433-2247

3400 Pinetree Rd
Ste 101
Lansing, MI 48911
Phone (517) 574-4291

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14536/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1134592892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTURY MEDICAL DR",
            "address_2": "SUITE 100",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962100",
            "telephone_number": "321-268-6764",
            "fax_number": "321-268-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N US HIGHWAY 1",
            "address_2": "SUITE 100",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329275216",
            "telephone_number": "321-268-6764",
            "fax_number": "321-268-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "STEVEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016366400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St John, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.