Active NPI
Joel G Green, DC
- Chiropractor
- Salem, MA
National Provider Identifier
1770568552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 489
- Practice address
- 310 Lafayette St
Salem, MA 01970-5442 - Phone
- (978) 744-1123
- Fax
- (978) 744-9683
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 489 | MA | Primary |
| Chiropractor | 111N00000X | 2901 | FL |
Addresses
Primary practice location
310 Lafayette St
Salem, MA 01970-5442
Mailing address
310 Lafayette St
Salem, MA 01970-5442
Phone (978) 744-1123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1603531 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 489 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 2901 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Joel Green, D.C., P.C. | Chiropractor | Past | Accepting new patients |
| Salem Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Salem, MA
- NPI 1508044389
-
- Chiropractor
- Salem, MA
- NPI 1700105558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1770568552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019705442",
"telephone_number": "978-744-1123",
"fax_number": "978-744-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019705442",
"telephone_number": "978-744-1123",
"fax_number": "978-744-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JOEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "489",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "2901",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1603531",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.