Danny Michael Greenwood, DDS
Individual provider Active NPI General Practice Dentistry · Sagamore Hills, OH
NPI 1114088945 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1114088945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 20569 (OH)
- Practice address
- 367 W Aurora Rd
Sagamore Hills, OH 44067-2160 - Phone
- (330) 467-2522
- Fax
- (330) 467-0252
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160105000700 | OH | Order and Referring Only - Dentist |
0446552707 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20569 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20569 | OH | Yes |
Addresses
Primary practice location
367 W Aurora Rd
Sagamore Hills, OH 44067-2160
Mailing address
367 W Aurora Rd
Sagamore Hills, OH 44067-2160
Phone (330) 467-2522
Other providers in Sagamore Hills, OH
- Ec Opco Sagamore Hills LLC
- Laura A Fitzpatrick
- Andrew Lee Gardella
- Lori Lynn Gemma
- Mary Glavan
- Gregory T Classen DO Inc
- Pamela Lynn Groppi
- Hartman Respiratory Care
- Penelope L Hedman
- Mary K. Hephner
All providers in Sagamore Hills, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.