Active NPI
Teresa A Green, D.C.
- Chiropractor
- Richmond, VA
National Provider Identifier
1255395661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556283
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556283 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa a Green DC PC | Current | 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.
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- NPI 1740322338
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- Chiropractor
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- NPI 1316959786
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- Chiropractor
- Silverdale, WA
- NPI 1912852591
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.