Active NPI
Adam S. Greenlee, D.C., L.A.C.
- Chiropractor
- Newburgh, IN
National Provider Identifier
1356325765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002036A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200406940A | Medicaid | IN | |
| 256840A | Other | IN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08002036A | IN | MD | Chiropractor |
| 81000041A | IN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenlee Chiropractic and Acupuncture Clinic Inc | Chiropractor | Current | 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.
-
- Chiropractor
- Newburgh, IN
- NPI 1013184175
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.