NPIMap

Individual provider Active NPI

Dana Lynn Greene, MD

  • Family Medicine Physician
  • Leadville, CO
National Provider Identifier
1013982925
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39812 Issued in CO
Practice address
525 W 3Rd St
Leadville, CO 80461-3811
Phone
(970) 692-4448
NPI assigned
Feb 22, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39812 CO Primary

Addresses

Primary practice location

525 W 3Rd St
Leadville, CO 80461-3811

Mailing address

525 W 3Rd St
Leadville, CO 80461-3811
Phone (970) 692-4448

Other identifiers 1

IdentifierTypeStateIssuer
94382727MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000524 CO Practitioner - Family Practice 9830188259 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Citizens' Foundation for Health Care IncGroup PAC ID 7517951536, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

1033 2ND Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39812COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent General Hospital District CurrentSince Apr 1, 2023 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Jun 1, 2014 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince May 1, 2019 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince May 1, 2019 Accepting new patients
St. Vincent General Hospital District CurrentSince Apr 1, 2023 Accepting new patients
St. Vincent General Hospital District Current Accepting new patients
Kremmling Memorial Hospital District CurrentSince Jun 1, 2014 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Current Accepting new patients
Prowers County Hospital District CurrentSince Jan 1, 2023 Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1013982925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 3RD ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613811",
            "telephone_number": "970-692-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 3RD ST",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613811",
            "telephone_number": "970-692-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94382727",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leadville, CO

Sources for this page

Verify at the official NPI Registry.