NPIMap

Organization Active NPI

Greenway303 Chiropractic P.C.

Doing business as Greenway303 Chiropractic

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1649330382
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7731 Issued in AZ
Legal business name
GREENWAY303 CHIROPRACTIC P.C.
Doing business as
Greenway303 Chiropractic
Practice address
16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609
Phone
(623) 698-7771
Fax
(623) 455-8759
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. William M Bucur, D.C.NPI 1710998166
Title
Ceo
Phone
(623) 698-7771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7731 AZ Primary

Addresses

Primary practice location

16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609

Mailing address

16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609
Phone (623) 698-7771

Other names 1

  • Greenway303 Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061223000002 AZ Part B Supplier - Clinic/Group Practice 9234139205 Receives reassigned benefits from 2 practitioners
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory

Locations

16995 W Greenway Rd
Ste 102
Surprise, AZ 85388
Phone (623) 433-8895

16995 W Greenway Rd
Ste 10
Surprise, AZ 85388
Phone (623) 433-8895

16630 W Greenway Rd
Ste 321
Surprise, AZ 85388
Phone (623) 433-8895

Practitioners & affiliated clinicians

Practitioners 9

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1649330382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16995 W GREENWAY RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889609",
            "telephone_number": "623-698-7771",
            "fax_number": "623-455-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16995 W GREENWAY RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889609",
            "telephone_number": "623-698-7771",
            "fax_number": "623-455-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY303 CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "BUCUR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-698-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenway303 Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenway303 Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.