Individual provider Active NPI

Kelly Greer, DC

  • Chiropractor
  • Montgomery, OH
National Provider Identifier
1285666107
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3686 Issued in OH
Practice address
9797 Montgomery Rd Ste a
Montgomery, OH 45242-7240
Phone
(513) 984-0100
Fax
(513) 283-8989
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3686 OH Primary

Addresses

Primary practice location

9797 Montgomery Rd Ste a
Montgomery, OH 45242-7240

Mailing address

9797 Montgomery Rd Ste a
Montgomery, OH 45242-7240
Phone (513) 984-0100

Other identifiers 1

IdentifierTypeStateIssuer
2739675MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000011 OH Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9638174204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9797 Montgomery Rd
Suite a
Montgomery, OH 45242-7240
Phone (513) 984-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3686OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Academy Chiropractic, LLC Chiropractor CurrentSince Aug 25, 2016 Accepting new patients

Locations

9797 Montgomery Rd
Ste A
Montgomery, OH 45242
Phone (513) 984-0100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1285666107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9797 MONTGOMERY RD STE A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427240",
            "telephone_number": "513-984-0100",
            "fax_number": "513-283-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 MONTGOMERY RD STE A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427240",
            "telephone_number": "513-984-0100",
            "fax_number": "513-283-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "KELLY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2739675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.