Active NPI
Ed Green Chiropractic, a Professional Corporation
- Medical Specialty Clinic/Center
- Moorpark, CA
National Provider Identifier
1649537721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 29791
- Legal business name
- ED GREEN CHIROPRACTIC, A PROFESSIONAL CORPORATION
- Practice address
- 301 Science Dr
#100
Moorpark, CA 93021-2094 - Phone
- (805) 531-1188
- Fax
- (805) 531-1112
- NPI assigned
- Apr 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Green, D.C, C.C.S.P
- Title
- Chiropractor/President
- Phone
- (805) 531-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 29791 | CA | Primary |
Addresses
Primary practice location
301 Science Dr
#100
Moorpark, CA 93021-2094
Mailing address
301 Science Dr
#100
Moorpark, CA 93021-2094
Phone (805) 531-1188
National Provider Directory
National Provider DirectoryLocations
301 Science Dr
Ste 100
Moorpark, CA 93021
Phone (805) 531-1188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Moorpark, CA
- NPI 1932316494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339718400000",
"number": "1649537721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SCIENCE DR",
"address_2": "#100",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212094",
"telephone_number": "805-531-1188",
"fax_number": "805-531-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SCIENCE DR",
"address_2": "#100",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212094",
"telephone_number": "805-531-1188",
"fax_number": "805-531-1112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ED GREEN CHIROPRACTIC, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-13",
"last_updated": "2012-06-15",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
"authorized_official_telephone_number": "805-531-1188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C, C.C.S.P"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "29791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
- Dr. Jesse Bashem & Associates Comprehensive Psychological Services Inc
- Dr. Nelson Santos Chiropractic, Inc.
- Dr. Vo and Associates Inc Moorpark Healthcare
- Charles Drehsen, M.D.
- Kristen Eastlick, SCHOOL COUNSELOR-PPS
- Shauna Egertson, MS, CCC-SLP
- Kristina Eifert, ASW
- Ely Hasany DDS,Inc.
- Exovie,LLC
- Express Photocopy Service, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.