Green Run Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREEN RUN CHIROPRACTIC

Practice address

1190 Lynnhaven Pkwy
Virginia Beach, VA 23452-4814

Phone

(757) 468-5444

Fax

(757) 468-2091

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Susanne Rose, D.C.NPI 1740281039

Title

President

Phone

(757) 468-5444

Specialties & licenses 1

Addresses

Other names 1

• Green Run Chiropractic Clinic, P.C. Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Susanne Rose, D.C.

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1740281039
  Medicare reassignment NPD Authorized official
• Haven Simon-Campbell

  • Massage Therapist
  • Virginia Beach, VA
  • NPI 1447122213
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1891702916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 LYNNHAVEN PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524814",
            "telephone_number": "757-468-5444",
            "fax_number": "757-468-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 LYNNHAVEN PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524814",
            "telephone_number": "757-468-5444",
            "fax_number": "757-468-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RUN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SUSANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-468-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Run Chiropractic Clinic, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victoria Marie Graziano
• Jody Greason, MS
• Greater Heights Homecare Agency LLC
• Curtis Kevin Greaves, PH.D.
• Green Meadows Family Dentistry
• Green Run Family Practice, Inc
• Abigail Green
• Adria Green
• Barbara Anne Green, D.H.
• Caitlin Green

• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.

Verify at the official NPI Registry.