William J. Greene, D.C,,QME

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

DC22353 Issued in CA

Practice address

330 N Brea Blvd
Suite K
Brea, CA 92821-4054

Phone

(562) 777-5552

Fax

(714) 671-2156

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1700072899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 COCAO PL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213633",
            "telephone_number": "562-777-5552",
            "fax_number": "714-671-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BREA BLVD",
            "address_2": "SUITE K",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214054",
            "telephone_number": "562-777-5552",
            "fax_number": "714-671-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C,,QME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC22353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Independent Medical Examiner Chiropractor in Brea, CA
• Providers in Brea, CA by specialty
• Independent Medical Examiner Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.