Organization Active NPI

Greco Chiropractic Inc.

  • Chiropractor
  • Elk Grove, CA
National Provider Identifier
1821179748
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRECO CHIROPRACTIC INC.
Practice address
6624 Laguna Blvd
Suite 104
Elk Grove, CA 95758-5265
Phone
(916) 691-3900
Fax
(916) 691-3902
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Lyndon William-Mercer Greco, D.C.NPI 1285715102
Title
Chiropractor/Owner
Phone
(916) 691-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6624 Laguna Blvd
Suite 104
Elk Grove, CA 95758-5265

Mailing address

6624 Laguna Blvd
Suite 104
Elk Grove, CA 95758-5265
Phone (916) 691-3900

National Provider Directory

National Provider Directory

Locations

6624 Laguna Blvd
Ste 104
Elk Grove, CA 95758
Phone (916) 691-3900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1821179748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 LAGUNA BLVD",
            "address_2": "SUITE 104",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585265",
            "telephone_number": "916-691-3900",
            "fax_number": "916-691-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 LAGUNA BLVD",
            "address_2": "SUITE 104",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585265",
            "telephone_number": "916-691-3900",
            "fax_number": "916-691-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRECO CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "LYNDON",
        "authorized_official_middle_name": "WILLIAM-MERCER",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "916-691-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.