Gary Ronald Green, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5672 Issued in AZ

Practice address

2292 W Magee Rd
Suite 170
Tucson, AZ 85742-4301

Phone

(520) 797-2922

Fax

(520) 742-0732

NPI assigned

May 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shipley Chiropractic PC

  • Chiropractor
  • Tucson, AZ
  • NPI 1053475756
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1801114657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD",
            "address_2": "SUITE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424301",
            "telephone_number": "520-797-2922",
            "fax_number": "520-742-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD",
            "address_2": "SUITE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424301",
            "telephone_number": "520-797-2922",
            "fax_number": "520-742-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GARY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Paul Greco, LPC-TEMP
• Tolulope Green-Yesu, FNP
• Anilu Green, LPC
• Christie Ann Green, FNP-C, PMHNP-BC
• Danielle Alicia Green, DPT
• Jasmine Green, PT, DPT
• Kelly Alissa Green, PHARM.D., PA-C
• Keri A Green, FNP-C
• Mary L Green, M.D.
• Michelle Green, LMT

• All providers in Tucson, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.