Organization Active NPI

Greene Chiropractic Clinic PC

  • Chiropractor
  • Cheyenne, WY
National Provider Identifier
1568780708
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
366 Issued in WY
Legal business name
GREENE CHIROPRACTIC CLINIC PC
Practice address
1507 Stillwater Ave
Suite B
Cheyenne, WY 82009-7358
Phone
(307) 637-7463
Fax
(307) 778-9814
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Stuart H Greene, DC
Title
Managing Member
Phone
(307) 637-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 366 WY Primary

Addresses

Primary practice location

1507 Stillwater Ave
Suite B
Cheyenne, WY 82009-7358

Mailing address

1507 Stillwater Ave
Suite B
Cheyenne, WY 82009-7358
Phone (307) 637-7463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1568780708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 STILLWATER AVE",
            "address_2": "SUITE B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097358",
            "telephone_number": "307-637-7463",
            "fax_number": "307-778-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 STILLWATER AVE",
            "address_2": "SUITE B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097358",
            "telephone_number": "307-637-7463",
            "fax_number": "307-778-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "307-637-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.