Individual provider Active NPI

Jennifer Leigh Green-Springer, DDS

  • General Practice Dentistry
  • Rossville, IN
National Provider Identifier
1184734428
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010153 Issued in IN
Practice address
54 W Main St
Rossville, IN 46065-9459
Phone
(765) 379-3539
Fax
(765) 379-3433
NPI assigned
Aug 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010153 IN Primary

Addresses

Primary practice location

54 W Main St
Rossville, IN 46065-9459

Mailing address

54 W Main St
PO Box 40
Rossville, IN 46065-9459
Phone (765) 379-3539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20160531000821 IN Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3375833544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010153INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rossville Family Dentistry, PC General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184734428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W MAIN ST",
            "address_2": "PO BOX 40",
            "city": "ROSSVILLE",
            "state": "IN",
            "postal_code": "460659459",
            "telephone_number": "765-379-3539",
            "fax_number": "765-379-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W MAIN ST",
            "city": "ROSSVILLE",
            "state": "IN",
            "postal_code": "460659459",
            "telephone_number": "765-379-3539",
            "fax_number": "765-379-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-SPRINGER",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossville, IN

Sources for this page

Verify at the official NPI Registry.