Green Acres Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREEN ACRES DENTAL PLLC

Practice address

871 Green Acres Dr
Twin Falls, ID 83301-3353

Phone

(208) 733-4620

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credential

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Green Acres Family Dentistry Doing business as

Locations

Practitioners 2

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

• J. Scott Lyman, D.D.S.

  • General Practice Dentistry
  • Twin Falls, ID
  • NPI 1750392189
  NPD (past)
• Joseph Hansen Lyman, DDS

  • General Practice Dentistry
  • Twin Falls, ID
  • NPI 1619091972
  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1013672617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 GREEN ACRES DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013353",
            "telephone_number": "208-733-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 GREEN ACRES DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013353",
            "telephone_number": "208-733-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIAL",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John B Gray, MD
• Michael E Gray, MD
• Donna Laura Graybill, LMSW
• Miriah Jean Graybill
• Shane Grayson, PTA
• David Green, PHARMD
• Sheila M Green, LCPC
• Jason Ryan Greenhalgh, M.D.
• David Griffin, MD
• Paula Porter Griffith, M.D.

• General Practice Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.