Active NPI
Deborah Louise Greenwall, M.D.
- Specialist
- Englewood, CO
National Provider Identifier
1962526848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 30577
- Practice address
- 125 Inverness Dr E
Suite 200
Englewood, CO 80112-5137 - Phone
- (303) 503-6315
- Fax
- (303) 649-9694
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 30577 | CO | Primary |
Addresses
Primary practice location
125 Inverness Dr E
Suite 200
Englewood, CO 80112-5137
Mailing address
914 Rutherford Way
Highlands Ranch, CO 80126-4761
Phone (303) 471-9068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716001234 | CO | Order and Referring Only - Obstetrics/Gynecology | 0648583906 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30577 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962526848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 RUTHERFORD WAY",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801264761",
"telephone_number": "303-471-9068",
"fax_number": "720-344-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 INVERNESS DR E",
"address_2": "SUITE 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125137",
"telephone_number": "303-503-6315",
"fax_number": "303-649-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWALL",
"first_name": "DEBORAH",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "30577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.