Organization Active NPI

Michele Green DC PC

  • Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1477032134
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MICHELE GREEN DC PC
Practice address
1820 Main St Ste a
Cedar Falls, IA 50613-4206
Phone
(319) 260-2113
Fax
(319) 260-2118
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Dr. Michele Renee Green, D.C.NPI 1982790135
Title
Chiropractor
Phone
(319) 260-2113

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 Primary

Addresses

Primary practice location

1820 Main St Ste a
Cedar Falls, IA 50613-4206

Mailing address

1820 Main St Ste a
Cedar Falls, IA 50613-4206
Phone (319) 260-2113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912001285 IA Part B Supplier - Clinic/Group Practice 8224388251 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Falls, IA

National Provider Directory

National Provider Directory

Locations

1820 Main St
Ste A
Cedar Falls, IA 50613
Phone (319) 260-2113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1477032134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MAIN ST STE A",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134206",
            "telephone_number": "319-260-2113",
            "fax_number": "319-260-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MAIN ST STE A",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134206",
            "telephone_number": "319-260-2113",
            "fax_number": "319-260-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE GREEN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-260-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.