Green Chiropractic & Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREEN CHIROPRACTIC & WELLNESS

Doing business as

Henry Chiropractic

Practice address

22780 Three Notch Rd
Lexington Park, MD 20653-1538

Phone

(301) 737-0662

Fax

(301) 737-0675

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Green, DCNPI 1801256292

Title

Owner

Phone

(301) 737-0662

Specialties & licenses 2

Addresses

Other names 1

• Henry Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Daniel Green, D.C.

  • Chiropractor
  • Annapolis, MD
  • NPI 1801256292
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Noel Green, D.C.

  • Chiropractor
  • Lexington Park, MD
  • NPI 1104287879
  Medicare reassignment Care Compare group NPD
• Gary Michael Grimsley, D.C.

  • Chiropractor
  • Lexington Park, MD
  • NPI 1457490708
  Medicare reassignment Care Compare group NPD
• Meghan Elizabeth Keefe, DC

  • Chiropractor
  • Austin, TX
  • NPI 1033791538

  MD

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1760083885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-737-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Dale Grantland, LCPC, NCC
• Stacey Gray, LCSW-C
• Greater Baden Medical Service Incorporated
• Greater Baden Medical Service Incorporated
• Greater Baden Medical Service Incorporated
• Julie Green, LCPC
• Megan Noel Green, D.C.
• Grimsley Chiropractic Services, P.C.
• Gary Michael Grimsley, D.C.
• Lee'Che Gross

• Chiropractor in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.