Green Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011000648 Issued in MO

Legal business name

GREEN FAMILY CHIROPRACTIC PC

Practice address

1338 N Belt Hwy Ste C
Saint Joseph, MO 64506-3081

Phone

(816) 387-8994

Fax

(816) 387-8220

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Crystal M Green, DCNPI 1952606659

Title

Owner

Phone

(816) 387-8994

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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.

• Crystal M Green, DC

  • Chiropractor
  • Saint Joseph, MO
  • NPI 1952606659
  Medicare reassignment Care Compare group NPD Authorized official
• Moriah Phillips, DC

  • Chiropractor
  • Saint Joseph, MO
  • NPI 1285164095
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1639474349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 N BELT HWY STE C",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063081",
            "telephone_number": "816-387-8994",
            "fax_number": "816-387-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 N BELT HWY STE C",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063081",
            "telephone_number": "816-387-8994",
            "fax_number": "816-387-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-387-8994",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011000648",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "2011000648",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2011000648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Gould, M.D.
• Mary Beth Grable
• Karl W Grant, D.O.
• Robert R Grant, DO
• Maddelyn Graves
• Crystal M Green, DC
• Martha Green
• Rachel R Greenhagen, CRNA
• Rishelle Dawn Greenlee, DO
• Dennis Gray Greer, M.D.

• Chiropractor in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.