Organization Active NPI

Ed Green Chiropractic, a Professional Corporation

  • Medical Specialty Clinic/Center
  • Moorpark, CA
National Provider Identifier
1649537721
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
29791 Issued in CA
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

Updated by the provider on Jun 15, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.