Active NPI
Adam Wayne Green, D.C.
- Chiropractor
- Parkersburg, WV
National Provider Identifier
1881692127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 565
- Practice address
- 2710 Broadway Extension
Parkersburg, WV 26101-6856 - Phone
- (304) 485-0106
- Fax
- (304) 485-5671
- NPI assigned
- Jul 11, 2005
- 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 | 565 | WV | Primary |
Addresses
Primary practice location
2710 Broadway Extension
Parkersburg, WV 26101-6856
Mailing address
2710 Broadway Extension
Parkersburg, WV 26101-6856
Phone (304) 485-0106
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131852000 | Medicaid | WV | |
| 550712981002 | Other | BCBS | |
| 155071298100 | Other | WV | WORKERS COMP. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060719000304 | WV | Practitioner - Chiropractic | 5597778431 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881692127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 BROADWAY EXTENSION",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261016856",
"telephone_number": "304-485-0106",
"fax_number": "304-485-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 BROADWAY EXTENSION",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261016856",
"telephone_number": "304-485-0106",
"fax_number": "304-485-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ADAM",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131852000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "550712981002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP.",
"identifier": "155071298100",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.