Organization Active NPI

Ronald D Greenwood MD Inc

  • Pediatrics Physician
  • Roseville, CA
National Provider Identifier
1164593182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G21173 Issued in CA
Legal business name
RONALD D GREENWOOD MD INC
Practice address
700 Sunrise Ave
Suite N
Roseville, CA 95661
Phone
(916) 782-6700
Fax
(916) 782-6767
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald D Greenwood, MD
Title
President Corporation Pediatrician
Phone
(916) 782-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G21173 CA Primary

Addresses

Primary practice location

700 Sunrise Ave
Suite N
Roseville, CA 95661

Mailing address

700 Sunrise Ave
Suite N
Roseville, CA 95661
Phone (916) 782-6700

Other identifiers 1

IdentifierTypeStateIssuer
00G211730OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

700 Sunrise Ave
Ste N
Roseville, CA 95661
Phone (916) 782-6700

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164593182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUNRISE AVE",
            "address_2": "SUITE N",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-782-6700",
            "fax_number": "916-782-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNRISE AVE",
            "address_2": "SUITE N",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-782-6700",
            "fax_number": "916-782-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D GREENWOOD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT CORPORATION PEDIATRICIAN",
        "authorized_official_telephone_number": "916-782-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G21173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00G211730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.