Greene Specific Chiropractic Clinic PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

08001548A Issued in IN

Legal business name

GREENE SPECIFIC CHIROPRACTIC CLINIC PC

Practice address

712 E Main St
Petersburg, IN 47567-1231

Phone

(812) 354-6807

Fax

(812) 354-3036

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert C. Greene, DCNPI 1821200460

Title

Owner

Phone

(812) 354-6807

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Robert C Greene, DC

  • Rehabilitation Chiropractor
  • Petersburg, IN
  • NPI 1821200460
  Medicare reassignment NPD Authorized official
• Michael Duane Williams, DC

  • Chiropractor
  • Vincennes, IN
  • NPI 1407876527
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1205009206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E MAIN ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475671231",
            "telephone_number": "812-354-6807",
            "fax_number": "812-354-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E MAIN ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475671231",
            "telephone_number": "812-354-6807",
            "fax_number": "812-354-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE SPECIFIC CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-354-6807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08001548A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000228713",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "645927",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS GROUP",
            "identifier": "000000228710",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "327644",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200030600",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350032460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Good Samaritan Hospital
• Robert C Greene, DC
• Nathanial D Grow, M.D.
• Betty L Harper, LCSW
• Hendricks County Hospital
• HLS Pharmacies Inc.

• Rehabilitation Chiropractor in Petersburg, IN
• Providers in Petersburg, IN by specialty
• Rehabilitation Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.