Greenawalt Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B362 Issued in NV

Legal business name

GREENAWALT CHIROPRACTIC

Practice address

7500 W Sahara Ave
Las Vegas, NV 89117-2742

Phone

(702) 363-8989

Fax

(702) 363-3573

NPI assigned

Dec 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Lee Greenawalt, D.C.NPI 1891779302

Title

Chiropractic Physician/Owner

Phone

(702) 363-8989

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Ronald Lee Greenawalt, D.C., D.A.B.C.O.

  • Orthopedic Chiropractor
  • Las Vegas, NV
  • NPI 1891779302
  NPD (past) Authorized official
• Timothy Dutt, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1518278076
  NPD (past)
• Paul S Green, DC

  • Chiropractor
  • Las Vegas, NV
  • NPI 1912122417
  NPD (past)
• James Matthew Paige, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1871577247
  NPD (past)

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1992073027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172742",
            "telephone_number": "702-363-8989",
            "fax_number": "702-363-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172742",
            "telephone_number": "702-363-8989",
            "fax_number": "702-363-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENAWALT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "GREENAWALT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "702-363-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3602062",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travon Maurice Green
• Whitney Green
• Yvonne Green
• Zena Green
• Zhaden Green
• Ronald Lee Greenawalt, D.C., D.A.B.C.O.
• Tasheena Greenawalt
• Vilma Greenaway
• Alan Howard Greenberg, M.D.
• Amy Greenberg, LCSW

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.