Active NPI
Robert C Greene, DC
- Rehabilitation Chiropractor
- Petersburg, IN
National Provider Identifier
1821200460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 08001548A
- Practice address
- 712 E Main St
Petersburg, IN 47567-1231 - Phone
- (812) 354-6807
- Fax
- (812) 354-3036
- NPI assigned
- May 4, 2007
- Last updated
- Aug 3, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 08001548A | IN | Primary |
Addresses
Primary practice location
712 E Main St
Petersburg, IN 47567-1231
Mailing address
712 E Main St
Petersburg, IN 47567-1231
Phone (812) 354-6807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200030600 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
712 E Main St
Petersburg, IN 47567-1231
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene Specific Chiropractic Clinic PC | Rehabilitation | Current | Accepting new patients |
Locations
712 E Main St
Petersburg, IN 47567
Phone (812) 354-6807
1009 E Broadway St
Princeton, IN 47670
Phone (812) 385-2808
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Chiropractor
- Petersburg, IN
- NPI 1205009206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1821200460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 E MAIN ST",
"city": "PETERSBURG",
"state": "IN",
"postal_code": "475671231",
"telephone_number": "812-354-6807",
"fax_number": "812-354-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E MAIN ST",
"city": "PETERSBURG",
"state": "IN",
"postal_code": "475671231",
"telephone_number": "812-354-6807",
"fax_number": "812-354-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IN",
"license": "08001548A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200030600",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, IN
- Good Samaritan Family Health Center, Inc (Family Health Center)
- Good Samaritan Family Health Center, Inc. (Family Health Center)
- Good Samaritan Hospital (Amber Manor Care Center)
- Good Samaritan Hospital (Samaritan Center - Petersburg)
- Greene Specific Chiropractic Clinic PC
- Nathanial D Grow, M.D.
- Betty L Harper, LCSW
- Hendricks County Hospital (Brickyard Healthcare - Petersburg Care Center)
- HLS Pharmacies Inc. (HLS Health and Wellness)
- Hook-Superx LLC (CVS Pharmacy #06879)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.