Active NPI
Greene Health Chiropractic, LLC
- Chiropractor
- Wentzville, MO
National Provider Identifier
1366209769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- GREENE HEALTH CHIROPRACTIC, LLC
- Practice address
- 1023 Main Plaza Dr
Wentzville, MO 63385-1170 - Phone
- (636) 639-8944
- NPI assigned
- Mar 1, 2024
- Last updated
- Mar 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisa Marjorie Greene, DC
- Title
- Chiropractor
- Phone
- (919) 656-2293
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1023 Main Plaza Dr
Wentzville, MO 63385-1170
Mailing address
15321 Batesville CT
Chesterfield, MO 63017-5400
Phone (919) 656-2293
Other practice location 1
15321 Batesville Ct
Chesterfield, MO 63017-5400
Phone (919) 656-2293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Wentzville, MO
- NPI 1154187714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1366209769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15321 BATESVILLE CT",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175400",
"telephone_number": "919-656-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 MAIN PLAZA DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633851170",
"telephone_number": "636-639-8944"
}
],
"practiceLocations": [
{
"address_1": "15321 Batesville Ct",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630175400",
"country_code": "US",
"telephone_number": "919-656-2293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GREENE HEALTH CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "ELISA",
"authorized_official_middle_name": "MARJORIE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "919-656-2293",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.