Jeremy Warren Green, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 31877 Issued in CA

Practice address

43950 Margarita Rd
Suite a
Temecula, CA 92592-2743

Phone

(951) 302-0130

NPI assigned

Feb 14, 2011

Last updated

Mar 9, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Chiropractic Inc.

  • Chiropractor
  • Temecula, CA
  • NPI 1811294705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1316244155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43950 MARGARITA RD",
            "address_2": "SUITE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922743",
            "telephone_number": "951-302-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43950 MARGARITA RD",
            "address_2": "SUITE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922743",
            "telephone_number": "951-302-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JEREMY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 31877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Graulich
• Coretta Gray
• Jamie Greathouse
• Green Chiropractic Inc.
• Douglas Allen Green, M.D., PH.D.
• Juanda Green
• Melissa Ann Green
• Michael Green, BT
• Rebecca Green
• Staci Greenaway, LMFT

• Chiropractor in Temecula, CA
• Providers in Temecula, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.