Richard Greene, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11106 Issued in KY

Practice address

1502 Oxford Dr Ste 200
Georgetown, KY 40324-8133

Phone

(502) 868-9300

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1154813202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 OXFORD DR STE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 OXFORD DR STE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248133",
            "telephone_number": "502-868-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Pineola St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286577604",
            "country_code": "US",
            "telephone_number": "828-742-1018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Poplar Grove Connector",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286075915",
            "country_code": "US",
            "telephone_number": "704-718-6508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 E Leigh St suite 3100",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232980655",
            "country_code": "US",
            "telephone_number": "236-280-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Fountain Ct Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092181",
            "country_code": "US",
            "telephone_number": "859-543-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0442000454",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11037",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "11106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette A Graham, PT
• Rebeccah Grace Gray
• Jenna Bivins Green, APRN
• Kelly M Green, OTR/L
• Greenbo Med Services Inc
• Tricia Greer
• William Lee Grey, DO
• Kameron Grigsby
• Elizabeth Victoria Grivetti, CADC, APSS, CSA
• Rebecca Gail Groves, LPCC,NCC

• Pediatric Dentistry in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.