Organization Active NPI

Green Dental, PLLC

  • Dentist
  • Nashville, TN
National Provider Identifier
1043689367
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8863 Issued in TN
Legal business name
GREEN DENTAL, PLLC
Practice address
2510 Murfreesboro Pike
7
Nashville, TN 37217-3582
Phone
(615) 523-2625
Fax
(615) 523-2626
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Dr. Jonathan Presley Green, DDSNPI 1598921561
Title
President
Phone
61552326254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8863 TN Primary

Addresses

Primary practice location

2510 Murfreesboro Pike
7
Nashville, TN 37217-3582

Mailing address

2921 Old Franklin Rd
#1213
Antioch, TN 37013-3177
Phone (615) 523-2625

National Provider Directory

National Provider Directory

Locations

2510 Murfreesboro Pike
Ste 7
Nashville, TN 37217
Phone (615) 523-2625

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1043689367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 OLD FRANKLIN RD",
            "address_2": "#1213",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133177",
            "telephone_number": "615-523-2625",
            "fax_number": "615-523-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 MURFREESBORO PIKE",
            "address_2": "7",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173582",
            "telephone_number": "615-523-2625",
            "fax_number": "615-523-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PRESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "61552326254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.