Individual provider Active NPI

Adam S. Greenlee, D.C., L.A.C.

  • Chiropractor
  • Newburgh, IN
National Provider Identifier
1356325765
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002036A Issued in IN
Practice address
10622 State Route 662 W
Newburgh, IN 47630-8845
Phone
(812) 490-9800
Fax
(812) 490-9801
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002036A IN Primary
Acupuncturist 171100000X 81000041A IN

Addresses

Primary practice location

10622 State Route 662 W
Newburgh, IN 47630-8845

Mailing address

2788 Reinford Dr
Newburgh, IN 47630-9146
Phone (812) 449-7424

Other identifiers 2

IdentifierTypeStateIssuer
200406940AMedicaidIN
256840AOtherINMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080617000293 IN Practitioner - Chiropractic 7810068962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenlee Chiropractic and Acupuncture Clinic IncGroup PAC ID 5092886150, 2 clinicians

Practice addresses (Care Compare)

10622 State Route 662 W
Newburgh, IN 47630-8845
Phone (812) 490-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002036AINMDChiropractor
81000041AINMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenlee Chiropractic and Acupuncture Clinic Inc Chiropractor CurrentSince May 1, 2008 Accepting new patients

Locations

10622 State Route 662 W
Newburgh, IN 47630
Phone (812) 490-9800

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1356325765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 REINFORD DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309146",
            "telephone_number": "812-449-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 STATE ROUTE 662 W",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308845",
            "telephone_number": "812-490-9800",
            "fax_number": "812-490-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "ADAM",
        "middle_name": "S.",
        "credential": "D.C., L.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002036A",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "81000041A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200406940A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "256840A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.