Individual provider Active NPI

Jimmy Greer, D.C.

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1467739326
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10703 Issued in FL
Practice address
18501 Pines Blvd Ste 104
Pembroke Pines, FL 33029-1414
Phone
(954) 432-3343
NPI assigned
Nov 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60741904 WA
Chiropractor 111N00000X CH10703 FL Primary

Addresses

Primary practice location

18501 Pines Blvd Ste 104
Pembroke Pines, FL 33029-1414

Mailing address

11633 SW 59TH CT
Cooper City, FL 33330-4157
Phone (786) 599-7818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10703FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pines West Chiropractic Inc Chiropractor CurrentSince Feb 12, 2025 Accepting new patients

Locations

18501 Pines Blvd
Ste 104
Pembroke Pines, FL 33029
Phone (954) 432-3343

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1467739326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SW 59TH CT",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304157",
            "telephone_number": "786-599-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 PINES BLVD STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291414",
            "telephone_number": "954-432-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60741904",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.