NPIMap

Organization Active NPI

Greenwell Family Dentistry, PSC

Doing business as Generations Family Dentistry

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1205070034
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7709 Issued in KY
Legal business name
GREENWELL FAMILY DENTISTRY, PSC
Doing business as
Generations Family Dentistry
Practice address
254 Market Place Dr
Louisville, KY 40229-5450
Phone
(502) 955-6134
Fax
(502) 955-6135
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Darren Scott Greenwell, DMDNPI 1295719078
Title
Owner
Phone
(502) 955-6134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7709 KY Primary

Addresses

Primary practice location

254 Market Place Dr
Louisville, KY 40229-5450

Mailing address

254 Market Place Dr
Louisville, KY 40229-5450
Phone (502) 955-6134

Other identifiers 1

IdentifierTypeStateIssuer
60002631MedicaidKY

Other names 1

  • Generations Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

254 Market Place Dr
Louisville, KY 40229
Phone (502) 955-6134

1100 S Dixie Blvd
Radcliff, KY 40160
Phone (270) 351-5858

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1205070034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 MARKET PLACE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295450",
            "telephone_number": "502-955-6134",
            "fax_number": "502-955-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MARKET PLACE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295450",
            "telephone_number": "502-955-6134",
            "fax_number": "502-955-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWELL FAMILY DENTISTRY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-955-6134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002631",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.