Active NPI
Earlene F Greene, DMD
- Periodontics
- Danville, KY
National Provider Identifier
1063510006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 5905
- Practice address
- 201 West Walnut Street
Danville, KY 40422 - Phone
- (859) 236-1898
- Fax
- (859) 236-2169
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5905 | KY | Primary |
Addresses
Primary practice location
201 West Walnut Street
Danville, KY 40422
Mailing address
204 S 2ND St Ste 1
Danville, KY 40422-1804
Phone (859) 236-1898
Other practice location 1
8076 US Highway 42
Florence, KY 41042-1474
Phone (859) 282-9741
Other names 1
- Mrs. Earlene F Morgan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141223001792 | KY | Order and Referring Only - Oral Surgery | 8729301700 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Center of Florence Kentucky | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Florence, KY
- NPI 1861543027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1063510006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S 2ND ST STE 1",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221804",
"telephone_number": "859-236-1898",
"fax_number": "859-236-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WEST WALNUT STREET",
"city": "DANVILLE",
"state": "KY",
"postal_code": "40422",
"telephone_number": "859-236-1898",
"fax_number": "859-236-2169"
}
],
"practiceLocations": [
{
"address_1": "8076 US Highway 42",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410421474",
"country_code": "US",
"telephone_number": "859-282-9741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "EARLENE",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "KY",
"license": "5905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EARLENE",
"last_name": "MORGAN",
"middle_name": "F",
"prefix": "MRS.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.