Active NPI
Vanessa Green, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1487057592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1799
- Practice address
- 10208 S 168TH Ave
Suite 4
Omaha, NE 68136-4185 - Phone
- (620) 330-6602
- NPI assigned
- Oct 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1799 | NE | Primary |
Addresses
Primary practice location
10208 S 168TH Ave
Suite 4
Omaha, NE 68136-4185
Mailing address
10208 S 168TH Ave
Suite 4
Omaha, NE 68136-4185
Phone (402) 884-7799
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1799 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1487057592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10208 S 168TH AVE",
"address_2": "SUITE 4",
"city": "OMAHA",
"state": "NE",
"postal_code": "681364185",
"telephone_number": "402-884-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10208 S 168TH AVE",
"address_2": "SUITE 4",
"city": "OMAHA",
"state": "NE",
"postal_code": "681364185",
"telephone_number": "620-330-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.