Active NPI
Tara L Green, DDS
- Dentist
- Morristown, TN
National Provider Identifier
1114288438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10914
- Practice address
- 2307 W Andrew Johnson Hwy
Morristown, TN 37814 - Phone
- (423) 581-8020
- Fax
- (423) 581-0118
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10914 | TN | Primary |
| Dentist | 122300000X | 2014027290 | MO | |
| Dentist | 122300000X | DS10914 | TN |
Addresses
Primary practice location
2307 W Andrew Johnson Hwy
Morristown, TN 37814
Mailing address
2307 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 581-8020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10914 | TN | MD | Dentist |
| DS10914 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1114288438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 W ANDREW JOHNSON HWY",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37814",
"telephone_number": "423-581-8020",
"fax_number": "423-581-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 W ANDREW JOHNSON HWY",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37814",
"telephone_number": "423-581-8020",
"fax_number": "423-581-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TARA",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10914",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2014027290",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS10914",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.