NPIMap

Organization Active NPI

Greene Chiropractic Back

  • Chiropractor
  • Great Bend, KS
National Provider Identifier
1568657229
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03194 Issued in KS
Legal business name
GREENE CHIROPRACTIC BACK
Practice address
2100 Kansas Ave
Great Bend, KS 67530-2516
Phone
(620) 792-1386
Fax
(620) 792-8634
NPI assigned
Sep 6, 2007
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Tom Paul Greene, DC
Title
Owner
Phone
(620) 792-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-03194 KS Primary

Addresses

Primary practice location

2100 Kansas Ave
Great Bend, KS 67530-2516

Mailing address

2100 Kansas Ave
Great Bend, KS 67530-2516
Phone (620) 792-1386

National Provider Directory

National Provider Directory

Locations

2100 Kansas Ave
Great Bend, KS 67530
Phone (620) 792-1386

Practitioners & affiliated clinicians

Practitioners 3

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1568657229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KANSAS AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302516",
            "telephone_number": "620-792-1386",
            "fax_number": "620-792-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KANSAS AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302516",
            "telephone_number": "620-792-1386",
            "fax_number": "620-792-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE CHIROPRACTIC BACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-792-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.