NPIMap

Organization Active NPI

Greensfelder Chiropractic, Inc.

  • Chiropractor
  • Odenton, MD
National Provider Identifier
1184873168
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01820 Issued in MD
Legal business name
GREENSFELDER CHIROPRACTIC, INC.
Practice address
1350 Blair Dr Ste HH
Odenton, MD 21113-1333
Phone
(410) 674-8605
Fax
(410) 674-8608
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Dr. John R Greensfelder, D.C.NPI 1871637207
Title
Owner/President
Phone
(410) 674-8605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S01820 MD Primary

Addresses

Primary practice location

1350 Blair Dr Ste HH
Odenton, MD 21113-1333

Mailing address

1350 Blair Dr Ste HH
Odenton, MD 21113-1333
Phone (410) 674-8605

Other names 1

  • Odenton Chiropract Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051117000436 MD Part B Supplier - Clinic/Group Practice 5092734152 Receives reassigned benefits from 2 practitioners
Practice locations: Odenton, MD

National Provider Directory

National Provider Directory

Locations

1350 Blair Dr
Odenton, MD 21113
Phone (443) 230-3956

1350 Blair Dr
Ste Hh
Odenton, MD 21113
Phone (410) 674-8605

2622 Annapolis Rd
#H
Severn, MD 21144
Phone (410) 674-8605

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1184873168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BLAIR DR STE HH",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131333",
            "telephone_number": "410-674-8605",
            "fax_number": "410-674-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BLAIR DR STE HH",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131333",
            "telephone_number": "410-674-8605",
            "fax_number": "410-674-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSFELDER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "GREENSFELDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-674-8605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odenton Chiropract",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Odenton Chiropract",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.