Active NPI
Steven H Greenberg, D.C.
- Chiropractor
- Port St John, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11689
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016366400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard Medical Support, Inc | Current | Accepting new patients | |
| Chiropractic Professional Center, PLLC | Chiropractor | Current | Accepting new patients |
| Nathan J. Dunham, D.C., P.L.L.C. | Chiropractor | Past | Accepting new patients |
| Center for Adolescent and Child Neurology | Past | 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
- 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.
-
- Chiropractor
- Lansing, MI
- NPI 1932466398
-
- Obstetrics & Gynecology Physician
- Port St John, FL
- NPI 1295409928
-
- Neurology with Special Qualifications in Child Neurology Physician
- Grand Rapids, MI
- NPI 1942620638
-
- Chiropractor
- Lansing, MI
- NPI 1154716116
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.