Nicholas Bernard Greene

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS045764 Issued in PA

Practice address

200 Union Ave
Altoona, PA 16602-3270

Phone

(814) 942-1628

NPI assigned

Jun 11, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1073447231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 CASTLEBERRY LN",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166018909",
            "telephone_number": "814-656-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023270",
            "telephone_number": "814-942-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "NICHOLAS",
        "middle_name": "BERNARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Grassmyer
• Ashlee Autumn Gray, ATC,
• Joy Gray, LPC
• Aftyne D Green, MS BSL
• David Adair Green, MD
• Joshua R Greenleaf, D.O.
• James Gresko, DPT
• Jillian Eileen Gresko, CRNP
• Melanie F Gresko, M.S.
• Ashley Marie Greslick, LPC

• General Practice Dentistry in Altoona, PA
• Providers in Altoona, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.