Thomas H. Green Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005235 Issued in MO

Legal business name

THOMAS H. GREEN CHIROPRACTIC, LLC

Doing business as

Green Chiropractic and Acupuncture

Practice address

8800 W State Highway 86
Shell Knob, MO 65747-9176

Phone

(417) 858-8818

Fax

(417) 858-8819

NPI assigned

Aug 3, 2010

Last updated

Aug 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Howard Green, D.C.

Title

Doctor of Chiropractic

Phone

(417) 858-8818

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Green Chiropractic and Acupuncture Doing business as

Locations

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1922312800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W MAPLEWOOD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074763",
            "telephone_number": "417-522-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W STATE HIGHWAY 86",
            "city": "SHELL KNOB",
            "state": "MO",
            "postal_code": "657479176",
            "telephone_number": "417-858-8818",
            "fax_number": "417-858-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. GREEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "417-858-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005235",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756208302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Pittser
• Regional Services (Shell Knob Family Medicine)
• Shell Knob Pharmacy LLC (Plaza Pharmacy)
• Shell Knob School
• Deirdre Stocks
• Michelle Renee Watson, LPC, NCC
• Emma Welch, PHD
• William R. Chism OD PC

• Chiropractor in Shell Knob, MO
• Providers in Shell Knob, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.