Individual provider Active NPI

Teresa A Green, D.C.

  • Chiropractor
  • Richmond, VA
National Provider Identifier
1255395661
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556283 Issued in VA
Practice address
5700 Old Richmond Ave Ste A4
Richmond, VA 23226-1828
Phone
(804) 477-3194
Fax
(804) 477-3324
NPI assigned
Apr 13, 2006
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556283 VA Primary

Addresses

Primary practice location

5700 Old Richmond Ave Ste A4
Richmond, VA 23226-1828

Mailing address

PO Box 293
Gum Spring, VA 23065-0293
Phone (804) 477-3194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556283VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa a Green DC PC CurrentSince Oct 30, 2022 Accepting new patients
Clark Chiropractic Chiropractor Past Accepting new patients
The Chiropractic Health and Wellness Center, LLC Chiropractor Past Accepting new patients
Clark Chiropractic Silverdale Chiropractor Past Accepting new patients

Locations

2004 Bremo Rd
Ste 101
Richmond, VA 23226
Phone (804) 214-7663

5700 Old Richmond Ave
Ste A4
Richmond, VA 23226
Phone (804) 477-3194

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1255395661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "GUM SPRING",
            "state": "VA",
            "postal_code": "230650293",
            "telephone_number": "804-477-3194",
            "fax_number": "804-477-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 OLD RICHMOND AVE STE A4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261828",
            "telephone_number": "804-477-3194",
            "fax_number": "804-477-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.