Green Chiropractic Corrections

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

1384 Issued in NE

Legal business name

GREEN CHIROPRACTIC CORRECTIONS

Practice address

18460 Wright St Ste 9
Omaha, NE 68130-2889

Phone

(402) 933-5392

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tereshel M Johnson, D.C.NPI 1760566087

Title

Clinic Director

Phone

(402) 933-5392

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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.

• Toby Charles Green, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1326125451
  Medicare reassignment
• Tereshel May Johnson, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1760566087
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1255464111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18460 WRIGHT ST STE 9",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302889",
            "telephone_number": "402-933-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18460 WRIGHT ST STE 9",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302889",
            "telephone_number": "402-933-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIROPRACTIC CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "402-933-5392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NE",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025294100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaeli Greco, PT, DPT, OCS
• Mariah Greco
• Jennifer Anne Greder, D.D.S.
• Mack Edward Greder II, D.D.S.
• Scott L Greder, O.D.
• Andrea Green Hines, M.D.
• Zanetar R Green-Graham
• Aaliyah Green
• Anasia Green
• Anngalattea Green

• Rehabilitation Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Rehabilitation Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.