Timothy Hallie Greenwood Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009547 Issued in MI

Practice address

1022 Weiss Street
Suite 3
Frankenmuth, MI 48734-1952

Phone

(989) 652-3244

Fax

(989) 652-6437

NPI assigned

Mar 20, 2009

Last updated

Jul 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Timothy H Greenwood Jr PLLC

  dba Bavarian Chiropractic

  • Chiropractor
  • Frankenmuth, MI
  • NPI 1194142158
  Medicare reassignment NPD
• Chiromed Center, Inc

  dba Kal Family Chiropractic

  • Chiropractor
  • Owosso, MI
  • NPI 1467561225
  NPD (past)
• Sam Chan PC

  dba Chiromed Center Inc

  • Chiropractor
  • Owosso, MI
  • NPI 1245408301
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1255572269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 WEISS STREET",
            "address_2": "SUITE 3",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341952",
            "telephone_number": "989-652-3244",
            "fax_number": "989-652-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 WEISS STREET",
            "address_2": "SUITE 3",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341952",
            "telephone_number": "989-652-3244",
            "fax_number": "989-652-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "TIMOTHY",
        "middle_name": "HALLIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "01019982",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9712364",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000021511",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COFINITY-PPOM",
            "identifier": "261557851",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmily Granett, M.S., CRNA
• Janet Gray, LPC
• Great Lakes Eye Institute
• Great Lakes Pediatric Therapy
• Mark G Greenwell, MD
• Joshua Steven Grimmer
• Kenneth Merritt Groves, D.D.S.
• Megan Hansen, LMSW-C
• Lori H Hodo
• Hope & Healing Counseling, LLC (Frankenmuth Counseling, LLC)

• Chiropractor in Frankenmuth, MI
• Providers in Frankenmuth, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.