Active NPI
David N Green, D.C.
- Chiropractor
- Valley Stream, NY
National Provider Identifier
1790899482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X2433
- Practice address
- 7 Munro Blvd
Valley Stream, NY 11581-3304 - Phone
- (516) 791-6421
- Fax
- (516) 791-6423
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X2433 | NY | Primary |
Addresses
Primary practice location
7 Munro Blvd
Valley Stream, NY 11581-3304
Mailing address
7 Munro Blvd
Valley Stream, NY 11581-3304
Phone (516) 791-6421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000589 | NY | Practitioner - Chiropractic | 9830366954 | Practice locations: Valley Stream, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Munro Blvd
Suite 1
Valley Stream, NY 11581-3361
Phone (516) 791-6421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X2433 | NY | MD | Chiropractor |
| 002433 | NY | MD | Dance Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790899482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MUNRO BLVD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813304",
"telephone_number": "516-791-6421",
"fax_number": "516-791-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MUNRO BLVD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813304",
"telephone_number": "516-791-6421",
"fax_number": "516-791-6423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DAVID",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X2433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.