Individual provider Active NPI

Greg Ninberg, D.C.

  • Chiropractor
  • Lemon Grove, CA
National Provider Identifier
1396156469
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20857 Issued in CA
Practice address
7103 Broadway
Lemon Grove, CA 91945-1436
Phone
(619) 668-0833
Fax
(619) 668-0686
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20857 CA Primary

Addresses

Primary practice location

7103 Broadway
Lemon Grove, CA 91945-1436

Mailing address

7103 Broadway
Lemon Grove, CA 91945-1436
Phone (619) 668-0833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001688 CA Practitioner - Chiropractic 2860884525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7103 Broadway
Lemon Grove, CA 91945-1436
Phone (619) 668-0833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20857CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Ninberg Chiropractic Corporation Chiropractor CurrentSince Aug 1, 2022 Accepting new patients

Locations

7103 Broadway
Lemon Grove, CA 91945
Phone (619) 668-0833

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1396156469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451436",
            "telephone_number": "619-668-0833",
            "fax_number": "619-668-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451436",
            "telephone_number": "619-668-0833",
            "fax_number": "619-668-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINBERG",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.