Active NPI
Megan Green, D.M.D.
- Endodontics
- Richmond, VA
National Provider Identifier
1144762089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN015180
- Practice address
- 520 N 12TH St
Dept. of Endodontics
Richmond, VA 23298-5064 - Phone
- (804) 828-9190
- NPI assigned
- Nov 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN015180 | GA | Primary |
Addresses
Primary practice location
520 N 12TH St
Dept. of Endodontics
Richmond, VA 23298-5064
Mailing address
2810 Monument Ave Apt 2
Richmond, VA 23221-1734
Phone (404) 376-6267
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN015180 | GA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1144762089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 MONUMENT AVE APT 2",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232211734",
"telephone_number": "404-376-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 12TH ST",
"address_2": "DEPT. OF ENDODONTICS",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985064",
"telephone_number": "804-828-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MEGAN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN015180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.