Melvin A. Greenspan, D.D.S.,

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

36930 Issued in CA

Practice address

500 S Sepulveda Blvd
Suite 305
Manhattan Beach, CA 90266-6948

Phone

(310) 937-6460

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184837171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD",
            "address_2": "SUITE 305",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666948",
            "telephone_number": "310-937-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD",
            "address_2": "SUITE 305",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666948",
            "telephone_number": "310-937-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "MELVIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "36930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kiyon Goud, PHARM.D.
• Gould Dental Corporation (Modern American Sleep Solutions)
• Joel David Gould, DDS
• Melissa Grant, DDS
• Ronald J Greene, D.D.S.
• Gregory M. Ray D.D.S., Inc. (Giant Smiles Dental - Manhattan Beach)
• Shelley Gregory, LMFT
• Allison Michelle Gribben, M.A.
• Taylor Griffith, D.C.
• Stacie B Groat

• Endodontics in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.