Dennis Gray Greer, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R4D30 Issued in MO

Practice address

3401 Faraon St
Saint Joseph, MO 64506-5101

Phone

(816) 387-2158

NPI assigned

Jan 23, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1104003003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645065101",
            "telephone_number": "816-387-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645065101",
            "telephone_number": "816-387-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "DENNIS",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R4D30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Family Chiropractic PC
• Crystal M Green, DC
• Martha Green
• Rachel R Greenhagen, CRNA
• Rishelle Dawn Greenlee, DO
• Mary Elaine Greer, R.N.N.P.
• Amanda Grieme, COTA/L
• Bradley Andrew Grier, D.O.
• Nora Jane Griffin-Clark, PHD
• Mandi D Griffin, FNP

• General Practice Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.

Verify at the official NPI Registry.