NPIMap

Organization Active NPI

Green Oaks Spine & Sport, PA

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1427233105
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8043 Issued in TX
Legal business name
GREEN OAKS SPINE & SPORT, PA
Practice address
4200 SW Green Oaks Blvd Ste 100
Arlington, TX 76017-4162
Phone
(817) 478-5800
Fax
(817) 478-5803
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Dr. Neal E Griffin, D.CNPI 1508939034
Title
Owner
Phone
(817) 478-5800

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8043 TX Primary

Addresses

Primary practice location

4200 SW Green Oaks Blvd Ste 100
Arlington, TX 76017-4162

Mailing address

PO Box 122080
Arlington, TX 76012-8080
Phone (817) 478-5800

Other names 1

  • Griffin Chiropractic & Wellness Center, P.A. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000268 TX Part B Supplier - Clinic/Group Practice 6901857366 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory
Tax ID family
Green Oaks Spine Sport PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3921 W Green Oaks Blvd
Ste A
Arlington, TX 76016
Phone (817) 451-3550

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1427233105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122080",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760128080",
            "telephone_number": "817-478-5800",
            "fax_number": "817-478-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SW GREEN OAKS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174162",
            "telephone_number": "817-478-5800",
            "fax_number": "817-478-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAKS SPINE & SPORT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-478-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griffin Chiropractic & Wellness Center, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.

Verify at the official NPI Registry.