Individual provider Active NPI

David Mitchell Greene, D.M.D.

  • Dentist
  • Scarsdale, NY
National Provider Identifier
1003895186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
034015 Issued in NY
Practice address
700 White Plains Rd
Suite 20
Scarsdale, NY 10583-5063
Phone
(914) 713-2424
Fax
(914) 713-1120
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 034015 NY Primary

Addresses

Primary practice location

700 White Plains Rd
Suite 20
Scarsdale, NY 10583-5063

Mailing address

700 White Plains Rd
Suite 20
Scarsdale, NY 10583-5063
Phone (914) 713-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616000659 NY Order and Referring Only - DentistPractitioner - Dentist 9638460926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034015NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003895186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD",
            "address_2": "SUITE 20",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835063",
            "telephone_number": "914-713-2424",
            "fax_number": "914-713-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD",
            "address_2": "SUITE 20",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835063",
            "telephone_number": "914-713-2424",
            "fax_number": "914-713-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DAVID",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "034015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.