Active NPI
Justin Z Green, LAC
- Acupuncturist
- Kalispell, MT
National Provider Identifier
1316238397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- MED-ACU-LIC-175
- Practice address
- 44 Village Loop Rd
Kalispell, MT 59901-2793 - Phone
- (406) 250-5786
- Fax
- (406) 848-6236
- NPI assigned
- Apr 26, 2011
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | MED-ACU-LIC-175 | MT | Primary |
Addresses
Primary practice location
44 Village Loop Rd
Kalispell, MT 59901-2793
Mailing address
767 N Main St
Kalispell, MT 59901-3603
Phone (406) 250-5786
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 |
|---|---|---|---|
| MED-ACU-LIC-175 | MT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1316238397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 N MAIN ST",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013603",
"telephone_number": "406-250-5786",
"fax_number": "406-848-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 VILLAGE LOOP RD",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012793",
"telephone_number": "406-250-5786",
"fax_number": "406-848-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JUSTIN",
"middle_name": "Z",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-26",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MT",
"license": "MED-ACU-LIC-175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.