Green Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 31877 Issued in CA

Legal business name

GREEN CHIROPRACTIC INC.

Practice address

43950 Margarita Rd
Suite a
Temecula, CA 92592-2743

Phone

(951) 230-8389

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Warren Green, D.C.NPI 1316244155

Title

President

Phone

(951) 852-8183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jeremy Warren Green, D.C.

  • Chiropractor
  • Temecula, CA
  • NPI 1316244155

  CA, Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298678400000",
    "number": "1811294705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29489 VIA LAS COLINAS",
            "address_2": "#227",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43950 MARGARITA RD",
            "address_2": "SUITE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922743",
            "telephone_number": "951-230-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-852-8183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 31877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Grassmann
• Cynthia Ann Grauf, P.T.
• Victoria Graulich
• Coretta Gray
• Jamie Greathouse
• Douglas Allen Green, M.D., PH.D.
• Jeremy Warren Green, D.C.
• Juanda Green
• Melissa Ann Green
• Michael Green, BT

• All providers in Temecula, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.