Individual provider Active NPI

Earlene F Greene, DMD

  • Periodontics
  • Danville, KY
National Provider Identifier
1063510006
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5905 Issued in KY
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

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141223001792 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729301700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.