Individual provider Active NPI

Danny Michael Greenwood, DDS

  • General Practice Dentistry
  • Sagamore Hills, OH
National Provider Identifier
1114088945
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20569 Issued in 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
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20569 OH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160105000700 OH Order and Referring Only - DentistPractitioner - Dentist 0446552707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20569OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1114088945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 W AURORA RD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440672160",
            "telephone_number": "330-467-2522",
            "fax_number": "330-467-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 W AURORA RD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440672160",
            "telephone_number": "330-467-2522",
            "fax_number": "330-467-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "DANNY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sagamore Hills, OH

Sources for this page

Verify at the official NPI Registry.