NPIMap

Organization Active NPI

Greenberg Chiropractic Care LLC

  • Chiropractor
  • St Louis PK, MN
National Provider Identifier
1194811299
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OK2045 Issued in OK
Legal business name
GREENBERG CHIROPRACTIC CARE LLC
Practice address
5407 Excelsior Blvd
Suite D
St Louis PK, MN 55416
Phone
(952) 920-9247
Fax
(952) 922-3480
NPI assigned
Oct 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Tina Sue Greenberg, DCNPI 1396844916
Title
Doctor of Chiropractic
Phone
(952) 920-9247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MN1715 MN
Chiropractor 111N00000X WA1442 WA
Chiropractor 111N00000X OK2045 OK Primary
Acupuncturist 171100000X 632 MN

Addresses

Primary practice location

5407 Excelsior Blvd
Suite D
St Louis PK, MN 55416

Mailing address

5407 Excelsior Blvd
Suite D
St Louis PK, MN 55416
Phone (952) 920-9247

Other identifiers 1

IdentifierTypeStateIssuer
413G1GROtherMNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5407 Excelsior Blvd
Ste D
St Louis Park, MN 55416
Phone (952) 920-9247

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194811299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD",
            "address_2": "SUITE D",
            "city": "ST LOUIS PK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-920-9247",
            "fax_number": "952-922-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD",
            "address_2": "SUITE D",
            "city": "ST LOUIS PK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-920-9247",
            "fax_number": "952-922-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBERG CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "952-920-9247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MN1715",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "WA1442",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "OK2045",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "413G1GR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis PK, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.