Active NPI
Christopher R Greene, D.C
- Chiropractor
- La Verne, CA
National Provider Identifier
1306960463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR-4676
- Practice address
- 2300 Foothill Blvd
Ste a
La Verne, CA 91750-3064 - Phone
- (909) 392-9700
- NPI assigned
- Mar 16, 2007
- Last updated
- Dec 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | CHR-4676 | CO | Primary |
Addresses
Primary practice location
2300 Foothill Blvd
Ste a
La Verne, CA 91750-3064
Mailing address
9252 Hidden Valley Dr
Villa Park, CA 92861-2306
Phone (714) 949-0724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050811001152 | CA | Practitioner - Chiropractic | 8224067970 | Practice locations: Villa Park, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR-4676 | CO | MD | Chiropractor |
| 20200 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1306960463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9252 HIDDEN VALLEY DR",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928612306",
"telephone_number": "714-949-0724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 FOOTHILL BLVD",
"address_2": "STE A",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503064",
"telephone_number": "909-392-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR-4676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.