Wiley Frank Green II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

120006944 Issued in IN

Practice address

1961 S Jackson St
Frankfort, IN 46041-3359

Phone

(765) 659-3078

Fax

(765) 659-5551

NPI assigned

Aug 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dr Green & Associates PC

  • Dentist
  • Frankfort, IN
  • NPI 1386840809
  NPD (past) Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043737836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413359",
            "telephone_number": "765-659-3078",
            "fax_number": "765-659-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413359",
            "telephone_number": "765-659-3078",
            "fax_number": "765-659-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "WILEY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "120006944",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "82000002A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "120006944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Gonzalez
• Lori A Gordon, SLP
• Laura Graefnitz, LCSW
• Daniel P Gray, OTR
• Greater Lafayette Health Services
• Megan A Grisez, SLP
• Anne Marie Groth, PT
• Tayseer Hamied
• Emily Harrington, NP
• Kathryn Marie Haskell, OTD, OTR

• All providers in Frankfort, IN
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.