Individual provider Active NPI

Dennis Read Greer, ATC

  • Specialist
  • West Salem, WI
National Provider Identifier
1124227681
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
874-039 Issued in WI
Practice address
800 W Franklin St
Apt #3
West Salem, WI 54669-9388
Phone
(608) 786-0995
NPI assigned
Jul 15, 2007
Last updated
Jul 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 874-039 WI Primary

Addresses

Primary practice location

800 W Franklin St
Apt #3
West Salem, WI 54669-9388

Mailing address

800 W Franklin St
Apt #3
West Salem, WI 54669-9388
Phone (608) 786-0995

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
874-039WIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1124227681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W FRANKLIN ST",
            "address_2": "APT #3",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699388",
            "telephone_number": "608-786-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W FRANKLIN ST",
            "address_2": "APT #3",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699388",
            "telephone_number": "608-786-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "DENNIS",
        "middle_name": "READ",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "874-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.