Active NPI
Michele Renee Green, CHIROPRACTOR
- Chiropractor
- Cedar Falls, IA
National Provider Identifier
1982790135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06438
- 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, 2014
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0763201 | Medicaid | IA |
Other names 1
- Michele Renee Svoboda
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06438 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele Green DC PC | Chiropractor | Current | Accepting new patients |
| Wolf Hearing Care PLC | Past | Accepting new patients | |
| Hitchins Chiropractic PC | Past | 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.
-
- Chiropractor
- Cedar Falls, IA
- NPI 1477032134
-
dba Radiance Chiropractic
- Pediatric Chiropractor
- Cedar Falls, IA
- NPI 1205294865
-
- Audiologist
- Cedar Falls, IA
- NPI 1013579184
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.