Organization Active NPI

Greenwood Health Center, PC

  • Chiropractor
  • Greenwood, IN
National Provider Identifier
1215969068
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001919A Issued in IN
Legal business name
GREENWOOD HEALTH CENTER, PC
Practice address
450 S State Road 135 Ste B
Greenwood, IN 46142-1454
Phone
(317) 889-8998
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Catherine Riley
Title
Office Manager
Phone
(317) 889-8998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08001919A IN Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 50004235A IN

Addresses

Primary practice location

450 S State Road 135 Ste B
Greenwood, IN 46142-1454

Mailing address

450 S State Road 135 Ste B
Greenwood, IN 46142-1454
Phone (317) 889-8998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426001672 IN Part B Supplier - Clinic/Group Practice 9739176553 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

Locations

489 S State Road 135
Ste A
Greenwood, IN 46142
Phone (317) 889-8998

450 S State Road 135
Ste B
Greenwood, IN 46142
Phone (317) 889-8998

Practitioners & affiliated clinicians

Practitioners 6

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1215969068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S STATE ROAD 135 STE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421454",
            "telephone_number": "317-889-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S STATE ROAD 135 STE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421454",
            "telephone_number": "317-889-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-889-8998"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001919A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "50004235A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.