Green Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

838 Issued in NE

Legal business name

GREEN CHIROPRACTIC PC

Practice address

1161 N Cotner Blvd
Lincoln, NE 68505-1835

Phone

(402) 466-6454

Fax

(402) 466-7829

NPI assigned

Jan 5, 2009

Last updated

Mar 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L. Green, DCNPI 1548311483

Title

Doctor/Owner

Phone

(402) 466-6454

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 4

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.

• Thomas L Green, D.C.

  • Chiropractor
  • Lincoln, NE
  • NPI 1548311483
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Lickei

  • Chiropractor
  • Lincoln, NE
  • NPI 1467165894
  Medicare reassignment Care Compare group NPD
• Tara Mohl, DC

  • Chiropractor
  • Lincoln, NE
  • NPI 1376922583
  Medicare reassignment Care Compare group NPD
• Lacey Ann Mink, D.C.

  • Chiropractor
  • Ashland, NE
  • NPI 1497008346
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1437395985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051835",
            "telephone_number": "402-466-6454",
            "fax_number": "402-466-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051835",
            "telephone_number": "402-466-6454",
            "fax_number": "402-466-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "402-466-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36638",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47067810900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "350056842",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Plains Family Counseling
• Allen Greaves
• Zachery Greaves, OTD, OTR/L
• Rita Cay Greder-Bucknell
• Owen Mason Greder
• Sydney Clara Green-Line, DPT
• Alicia Haide Green
• Amanda Grace Green, PA
• Angela Green, MS, CCC-SLP
• Brandon K Green

• Chiropractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.