Active NPI
Gerald C. Green, DMD, PC
- Dental Clinic/Center
- Lancaster, PA
National Provider Identifier
1104588490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- GERALD C. GREEN, DMD, PC
- Practice address
- 2207 Oregon Pike Ste 201
Lancaster, PA 17601-4670 - Phone
- (717) 299-5544
- NPI assigned
- Oct 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Aurora A Green
- Title
- Manager
- Phone
- (717) 299-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2207 Oregon Pike Ste 201
Lancaster, PA 17601-4670
Mailing address
2207 Oregon Pike Ste 201
Lancaster, PA 17601-4670
Phone (717) 299-5544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467545392 | Other | PA | NPI |
| 1750056008 | Other | PA | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Lancaster, PA
- NPI 1467545392
-
- Periodontics
- Lancaster, PA
- NPI 1750056008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1104588490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 OREGON PIKE STE 201",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014670",
"telephone_number": "717-299-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 OREGON PIKE STE 201",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014670",
"telephone_number": "717-299-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD C. GREEN, DMD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "AURORA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "717-299-5544",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1467545392",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1750056008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.