Geoffrey David Greenway, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1062 Issued in ID

Practice address

229 Pine St
Sandpoint, ID 83864-1336

Phone

(208) 255-1108

Fax

(208) 265-5696

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greenway Corporation

  • Chiropractor
  • Sandpoint, ID
  • NPI 1356521488
  Medicare reassignment NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1487793626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S THIRD AVE",
            "address_2": "STE 6",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641358",
            "telephone_number": "208-255-1108",
            "fax_number": "208-265-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PINE ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641336",
            "telephone_number": "208-255-1108",
            "fax_number": "208-265-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "GEOFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1377457",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILING # BLUE CROSS",
            "identifier": "C4066",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey A Good, D.O.
• Mari Goodpaster, LMT
• Susan R Gordon, LPC
• Erin Kathleen Gray, LPC
• Greenway Corporation
• Kelly Greenway, FNTP, MRWP
• Perry E Grey Harper, PSY.D.
• Nichole Suzanne Grimm, NP
• Eleanor Rand Gurley, LCSW
• Mary Gustafik, LPC

• All providers in Sandpoint, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.