Active NPI
DRS Green & Henderson Inc
- Oral and Maxillofacial Surgery (Dentist)
- Roanoke, VA
National Provider Identifier
1013859909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- DRS GREEN & HENDERSON INC
- Practice address
- 1603 Franklin Rd SW
Roanoke, VA 24016-5208 - Phone
- (540) 283-4940
- Fax
- (540) 283-4941
- NPI assigned
- Apr 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesley Coyner
- Title
- Accts Receivable Director
- Phone
- (304) 552-7688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
1603 Franklin Rd SW
Roanoke, VA 24016-5208
Mailing address
103 Station Place Way
Hurricane, WV 25526-8747
Phone (304) 720-7819
National Provider Directory
National Provider Directory- Tax ID family
- DRS Green Henderson Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Vinton, VA
- NPI 1720939895
-
- Oral and Maxillofacial Surgery (Dentist)
- Lynchburg, VA
- NPI 1861358459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1013859909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 STATION PLACE WAY",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268747",
"telephone_number": "304-720-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 FRANKLIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240165208",
"telephone_number": "540-283-4940",
"fax_number": "540-283-4941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS GREEN & HENDERSON INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-08",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "COYNER",
"authorized_official_first_name": "LESLEY",
"authorized_official_title_or_position": "ACCTS RECEIVABLE DIRECTOR",
"authorized_official_telephone_number": "304-552-7688"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.