Greene-Davis Enterprises, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

CE004130 Issued in MO

Legal business name

GREENE-DAVIS ENTERPRISES, LLC

Practice address

1200 NW South Outer Rd
Suite 116
Blue Springs, MO 64015-3072

Phone

(816) 228-5179

Fax

(816) 246-4884

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Smith Greene, DC

Title

President/Partner

Phone

(816) 228-5179

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Low Back Solution Doing business as

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1770670671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD",
            "address_2": "SUITE 116",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153072",
            "telephone_number": "816-228-5179",
            "fax_number": "816-246-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD",
            "address_2": "SUITE 116",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153072",
            "telephone_number": "816-228-5179",
            "fax_number": "816-246-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE-DAVIS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "816-228-5179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "CE004130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "D08608428",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Low Back Solution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa A. Grant, M.S., CCC-SLP
• Bonnie Lee Gray
• Karen L. Graybill, CRNA
• Lori Green
• Mindy Green, PTA
• Terry Richard Groves Jr., MSW,LCSW
• Jose Jesus Guerra Jr., DC
• Carrie Suzanne Guilfoyle
• Megan N Guinn
• Renee Guthrie

• Physical Therapy Clinic/Center in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.