Active NPI
Lyndon William Mercer Greco, D.C.
- Chiropractor
- Elk Grove, CA
National Provider Identifier
1285715102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26392
- Practice address
- 6624 Laguna Blvd
Suite 104
Elk Grove, CA 95758-5265 - Phone
- (916) 691-3900
- Fax
- (916) 691-3902
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- 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 | DC26392 | CA | Primary |
Addresses
Primary practice location
6624 Laguna Blvd
Suite 104
Elk Grove, CA 95758-5265
Mailing address
6624 Laguna Blvd
Suite 104
Elk Grove, CA 95758-5265
Phone (916) 691-3900
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26392 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greco Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Elk Grove, CA
- NPI 1821179748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285715102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6624 LAGUNA BLVD",
"address_2": "SUITE 104",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957585265",
"telephone_number": "916-691-3900",
"fax_number": "916-691-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6624 LAGUNA BLVD",
"address_2": "SUITE 104",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957585265",
"telephone_number": "916-691-3900",
"fax_number": "916-691-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "LYNDON",
"middle_name": "WILLIAM MERCER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.