Individual provider Active NPI

Mithra Jigme Green, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1750457230
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555605 Issued in VA
Practice address
5267 Greenwich Rd
Suite 201
Virginia Beach, VA 23462-6028
Phone
(757) 313-6723
Fax
(757) 313-4596
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555605 VA Primary

Addresses

Primary practice location

5267 Greenwich Rd
Suite 201
Virginia Beach, VA 23462-6028

Mailing address

5267 Greenwich Rd
Suite 201
Virginia Beach, VA 23462-6028
Phone (757) 313-6723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000335 VA Practitioner - Chiropractic 5193890374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5267 Greenwich Rd
Suite 201
Virginia Beach, VA 23462-6028
Phone (757) 313-6723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104555605VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Coast Chiropractic, P.C. Chiropractor CurrentSince Feb 5, 2007 Accepting new patients
Seven Cities Midwifery Care, LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

5267 Greenwich Rd
Ste 201
Virginia Beach, VA 23462
Phone (757) 313-6723

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1750457230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5267 GREENWICH RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626028",
            "telephone_number": "757-313-6723",
            "fax_number": "757-313-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5267 GREENWICH RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626028",
            "telephone_number": "757-313-6723",
            "fax_number": "757-313-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MITHRA",
        "middle_name": "JIGME",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.