Akiba Joseph Green, DNM

Primary specialty

NaturopathTaxonomy code 175F00000X

License

2117-2065 Issued in ZZ

Practice address

21000 Torrence Chapel Rd Ste 101
Cornelius, NC 28031-6874

Phone

(704) 987-3993

Fax

(704) 987-3991

NPI assigned

Oct 10, 2006

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Akiba Joseph Green Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Norman Integrative Wellness, LLC

  • Medical Specialty Clinic/Center
  • Cornelius, NC
  • NPI 1356961007
  NPD Authorized official
• Lake Norman Health and Wellness, PA

  • Chiropractor
  • Cornelius, NC
  • NPI 1417044637
  Authorized official Same address or phone
• Goodman Chiropractic, PC

  • Chiropractor
  • Cornelius, NC
  • NPI 1407295421
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1841387784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 101",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316874",
            "telephone_number": "704-987-3993",
            "fax_number": "704-987-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 101",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316874",
            "telephone_number": "704-987-3993",
            "fax_number": "704-987-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AKIBA",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DNM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3241",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ZZ",
            "license": "2117-2065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903436",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drgreenportal.md-hq.com/",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21000 Torrence Chapel Rd Ste 101",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280316874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AKIBA",
            "last_name": "GREEN",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Goodman Chiropractic, PC
• Eric Wayne Goodman, D.C.
• Kyleigh Goodman, M.ED
• Victoria Grande
• Kenneth Grano, CFBPCA
• Alicia J Green
• Maria Green
• Nancy Alison Greene, DSW
• Carrie Gregory, M.D.
• Cristin Gregory, LAC

• Naturopath in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Naturopath in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.