NPIMap

Organization Active NPI

T. H. Green Chiropractic, LLC

Doing business as Green Chiropractic

  • Chiropractor
  • West Plains, MO
National Provider Identifier
1457663270
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005235 Issued in MO
Legal business name
T. H. GREEN CHIROPRACTIC, LLC
Doing business as
Green Chiropractic
Practice address
1713 US Highway 160 West
South Ridge Plaza, Suite 215
West Plains, MO 65775-7669
Phone
(417) 257-1184
NPI assigned
Jul 9, 2010
Last updated
Jul 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Dr. Thomas Howard Green, D.C.NPI 1083624845
Title
Doctor of Chiropractic
Phone
(417) 522-9395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005235 MO Primary
Acupuncturist 171100000X

Addresses

Primary practice location

1713 US Highway 160 West
South Ridge Plaza, Suite 215
West Plains, MO 65775-7669

Mailing address

1134 W. Maplewood St.
Springfield, MO 65807-4763
Phone (417) 522-9395

Other identifiers 1

IdentifierTypeStateIssuer
756208302MedicaidMO

Other names 1

  • Green Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1713 W US Highway 160
Ste 215
West Plains, MO 65775
Phone (417) 257-1184

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1457663270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W. MAPLEWOOD ST.",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074763",
            "telephone_number": "417-522-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 US HIGHWAY 160 WEST",
            "address_2": "SOUTH RIDGE PLAZA, SUITE 215",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657757669",
            "telephone_number": "417-257-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. H. GREEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "417-522-9395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005235",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756208302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.