Active NPI
Avery R Greene, DMD
- Dentist
- Bradenton, FL
National Provider Identifier
1013695006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28320
- Practice address
- 6220 Manatee Ave W Ste 401
Bradenton, FL 34209-2363 - Phone
- (941) 792-3033
- NPI assigned
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28320 | FL | Primary |
Addresses
Primary practice location
6220 Manatee Ave W Ste 401
Bradenton, FL 34209-2363
Mailing address
4102 El Dorado CV
Bradenton, FL 34210-1421
Phone (941) 920-0927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28320 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1013695006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 EL DORADO CV",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342101421",
"telephone_number": "941-920-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 MANATEE AVE W STE 401",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342092363",
"telephone_number": "941-792-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "AVERY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.