Individual provider Active NPI

John R Greensfelder, D.C.

  • Chiropractor
  • Odenton, MD
National Provider Identifier
1871637207
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01820 Issued in MD
Practice address
1350 Blair Dr Ste HH
Odenton, MD 21113-1333
Phone
(410) 674-8605
Fax
(410) 674-8608
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01820 MD Primary

Addresses

Primary practice location

1350 Blair Dr Ste HH
Odenton, MD 21113-1333

Mailing address

1350 Blair Dr Ste HH
Odenton, MD 21113-1333
Phone (410) 674-8605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000448 MD Practitioner - Chiropractic 1456370519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 Blair Dr
Suite HH
Odenton, MD 21113-1113

1350 Blair Dr
Suite HH
Odenton, MD 21113-1333
Phone (410) 674-8605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01820MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greensfelder Chiropractic, Inc. Chiropractor CurrentSince Aug 6, 2002 Accepting new patients

Locations

325 Gambrills Rd
Ste A
Gambrills, MD 21054
Phone (410) 674-8605

1350 Blair Dr
Ste Hh
Odenton, MD 21113
Phone (410) 674-8605

1350 Blair Dr
Odenton, MD 21113
Phone (443) 230-3956

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1871637207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BLAIR DR STE HH",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131333",
            "telephone_number": "410-674-8605",
            "fax_number": "410-674-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BLAIR DR STE HH",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131333",
            "telephone_number": "410-674-8605",
            "fax_number": "410-674-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSFELDER",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.

Verify at the official NPI Registry.