Active NPI
John R Greensfelder, D.C.
- Chiropractor
- Odenton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01820
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01820 | MD | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensfelder Chiropractic, Inc. | Chiropractor | Current | 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.
-
- Chiropractor
- Odenton, MD
- NPI 1184873168
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.