Individual provider Active NPI

Stuart Alden Greenwood, D.C.

  • Chiropractor
  • Indio, CA
National Provider Identifier
1356342026
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jun 18, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13784 Issued in CA
Practice address
81557 Dr Carreon Blvd
Suite B-5
Indio, CA 92201-5517
Phone
(760) 347-4554
Fax
(760) 347-1623
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13784 CA Primary

Addresses

Primary practice location

81557 Dr Carreon Blvd
Suite B-5
Indio, CA 92201-5517

Mailing address

81557 Dr Carreon Blvd
Suite B-5
Indio, CA 92201-5517
Phone (760) 347-4554

Other identifiers 2

IdentifierTypeStateIssuer
13784 01OtherEXCLUSIVE CARE PROVIDER #
DC0137840MedicaidCA

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
13784CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
T M Pillow D.C. & Associates Chiropractor PastSince Jan 3, 2005 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356342026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81557 DR CARREON BLVD",
            "address_2": "SUITE B-5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015517",
            "telephone_number": "760-347-4554",
            "fax_number": "760-347-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DR CARREON BLVD",
            "address_2": "SUITE B-5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015517",
            "telephone_number": "760-347-4554",
            "fax_number": "760-347-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "STUART",
        "middle_name": "ALDEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CARE PROVIDER #",
            "identifier": "13784 01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0137840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.