Individual provider Active NPI

Michele Renee Green, CHIROPRACTOR

  • Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1982790135
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06438 Issued in IA
Practice address
1001 Hudson Road
Cedar Falls, IA 50613-7410
Phone
(319) 277-5616
Fax
(319) 277-0355
NPI assigned
Oct 5, 2006
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06438 IA Primary

Addresses

Primary practice location

1001 Hudson Road
Cedar Falls, IA 50613-7410

Mailing address

2910 Quail Hollow LN
Cedar Falls, IA 50613-4989
Phone (319) 415-7612

Other identifiers 1

IdentifierTypeStateIssuer
0763201MedicaidIA

Other names 1

  • Michele Renee Svoboda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000331 IA Practitioner - Chiropractic 9638144207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1820 Main St
Suite a
Cedar Falls, IA 50613-4206
Phone (319) 260-2113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06438IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Green DC PC Chiropractor CurrentSince Aug 2, 2018 Accepting new patients
Wolf Hearing Care PLC Past Accepting new patients
Hitchins Chiropractic PC PastSince Apr 1, 2021 Accepting new patients

Locations

1820 Main St
Ste A
Cedar Falls, IA 50613
Phone (319) 260-2113

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1982790135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 QUAIL HOLLOW LN",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134989",
            "telephone_number": "319-415-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HUDSON ROAD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137410",
            "telephone_number": "319-277-5616",
            "fax_number": "319-277-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0763201",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "SVOBODA",
            "middle_name": "RENEE",
            "credential": "CHIROPRACTOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.

Verify at the official NPI Registry.