Individual provider Active NPI

Greg David Greenberg, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frisco, TX
National Provider Identifier
1164426854
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14638 Issued in TX
Practice address
6801 Warren Pkwy Ste 121
Frisco, TX 75034-4105
Phone
(214) 503-0060
Fax
(214) 503-0023
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 14638 TX Primary

Addresses

Primary practice location

6801 Warren Pkwy Ste 121
Frisco, TX 75034-4105

Mailing address

6801 Warren Pkwy Ste 121
Frisco, TX 75034-4105
Phone (972) 335-1300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince May 25, 2021 Accepting new patients
Benito Benitez DDS PLLC Orthodontics and Dentofacial Orthopedics PastSince Jan 26, 2022 Accepting new patients

Locations

6801 Warren Pkwy
Ste 121
Frisco, TX 75034
Phone (972) 335-1300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1164426854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 WARREN PKWY STE 121",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344105",
            "telephone_number": "972-335-1300",
            "fax_number": "972-335-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 WARREN PKWY STE 121",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344105",
            "telephone_number": "214-503-0060",
            "fax_number": "214-503-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "GREG",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.