Green & Jones Oral and Maxillofacial Surgery PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

GREEN & JONES ORAL AND MAXILLOFACIAL SURGERY PLLC

Practice address

3935 Dupont Circle
Ste. D
Louisville, KY 40207

Phone

(502) 897-0424

Fax

(502) 897-0427

NPI assigned

Jan 14, 2019

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lewis C Jones, MD, DMDNPI 1730382722

Title

Oral Surgeon/Owner

Phone

(502) 897-0424

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 5

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.

• Lewis Crawford Jones, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1730382722
  Medicare reassignment Care Compare group NPD Authorized official
• Ralph M Green, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1619087954
  Medicare reassignment Care Compare group NPD
• Matthew Stratton, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1154862597
  Medicare reassignment Care Compare group NPD
• Gregory Allen Way II

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1154731156
  Medicare reassignment Care Compare group NPD
• Ashley Briggs

  • Student in an Organized Health Care Education/Training Program
  • Louisville, KY
  • NPI 1205566809
  NPD

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1205300290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 DUPONT CIRCLE",
            "address_2": "STE. D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-897-0424",
            "fax_number": "502-897-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 DUPONT CIRCLE",
            "address_2": "STE. D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-897-0424",
            "fax_number": "502-897-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3935 DuPont Cir Ste D",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074824",
            "country_code": "US",
            "telephone_number": "502-897-0424",
            "fax_number": "502-897-0427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN & JONES ORAL AND MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2023-12-05",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORAL SURGEON/OWNER",
        "authorized_official_telephone_number": "502-897-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Louisville Oral and Maxillofacial Surgery Associates, PSC
• James Patrick Grebe
• Emily Fister Greco, MA
• Lauren Rae Greco
• Nikki Greco, MD CANDIDATE
• Green Hill Therapy Inc
• Green Horseshoe Healthcare
• Green House Family Resource Center
• Green House Recovery and Rehabilitation Center
• Green Leaves Adhc LLC

• Oral & Maxillofacial Surgery (D.M.D.) in Louisville, KY
• Providers in Louisville, KY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.