Robert D Green, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556304 Issued in VA

Practice address

2900 Polo Pkwy Ste 101
Midlothian, VA 23113-1423

Phone

(804) 378-6035

Fax

(804) 560-9360

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Chiropractic, IncGroup PAC ID 8921195363, 2 clinicians

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 and National Provider Directory roles.

• Active Chiropractic, Inc

  • Chiropractor
  • Midlothian, VA
  • NPI 1447454277
  Medicare reassignment Care Compare group NPD Authorized official
• Esprit Health Incorporated, LLC

  • Physical Medicine & Rehabilitation Physician
  • Williamsburg, VA
  • NPI 1891454260
  NPD (past)
• Pinto Family Chiropractic, PLC

  • Chiropractor
  • Williamsburg, VA
  • NPI 1619995560
  NPD (past)
• Virginia Wellness Associates Inc.

  • Chiropractor
  • Richmond, VA
  • NPI 1598703696
  NPD (past)
• Virginia Wellness Associates Norfolk, Inc.

  • Chiropractor
  • Norfolk, VA
  • NPI 1235312208
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1295796142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 POLO PKWY STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131423",
            "telephone_number": "804-378-6035",
            "fax_number": "804-560-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 POLO PKWY STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131423",
            "telephone_number": "804-378-6035",
            "fax_number": "804-560-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "183417",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- ACTIVE CHIRO",
            "identifier": "298933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7993638",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Gray, RN
• Graystone Therapy & Wellness Center
• Claire Bateman Graziano, MSOT, OTR/L
• Greater Community Clinical Services
• Sydney Greeen
• Greenbrook TMS Midlothian LLC
• Michelle Greene
• Renada Greene
• Anna Greenlee, PA-C
• Caroline Porco Greer, MSN, APRN, FNP

• Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.