Jonnita Green, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.025793 Issued in OH

Practice address

333 Conover Dr Ste D
Franklin, OH 45005-1900

Phone

(513) 318-1188

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jonnita.green.1@23272.direct.athenahealth.com

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1124687082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 PEACH BLOSSOM CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041623",
            "telephone_number": "513-256-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CONOVER DR STE D",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450051900",
            "telephone_number": "513-318-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JONNITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amee Jo Gasser, PHARMD
• Ginger Ann Gentry, LMT
• Tracy Gilchrist
• Brandie Valencia-Moore Girmann, PA-C
• Sheri Gladish, MD
• Janice Teresa Grieshop
• Thomas Grieshop
• Chalana Umayanganee Gunawardena, MD
• Gary J Guthrie
• Charles L Hageman, MD

• Dentist in Franklin, OH
• Providers in Franklin, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.