DR. MATTHEW STUART GREEN D.C.
NPI 1124220793
Chiropractor - Sports Physician in Oakland, CA

Q: What is Matthew Green's NPI number?

The NPI number for Matthew Green is 1124220793. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Q: What is Matthew Green's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Green was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2007Accepts Medicare Assignment

6232 LA SALLE AVE, OAKLAND, CA 94611(510) 200-9000(510) 788-4034 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Matthew Stuart Green D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW STUART GREEN D.C. (NPI 1124220793) is an individual sports physician in Oakland, California, licensed in California (DC28669) and active in the NPI registry since June 2007. He is a graduate of Life Chiropractic College - West (2002).

NPPES Registry Identity

NPI1124220793

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. MATTHEW STUART GREENCredential: D.C.

Location Address6232 LA SALLE AVEOakland, CA 94611-2804

Mailing Address6232 La Salle AveOakland, CA 94611-2804 · (510) 200-9000 · Fax (510) 788-4034

Phone(510) 200-9000

Fax(510) 788-4034

Sole ProprietorYes

Medical School CMSLife Chiropractic College - WestGraduated 2002

Enumeration DateJune 4, 2007

Last NPPES UpdateJuly 22, 2013

✔ NPI 1124220793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in CA · DC28669

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

6232 LA SALLE AVE, Oakland, CA 94611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Stuart Green D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133153943

PECOS Enrollment IDI20050921000774

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

470 services47 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Green's NPI number?

The NPI number for Matthew Green is 1124220793. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Matthew Green located?

Matthew Green practices at 6232 La Salle Ave, Oakland, CA 94611. The listed phone number is (510) 200-9000.

What is Matthew Green's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Matthew Green enrolled in Medicare?

Yes. Matthew Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Green was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.