Daniel Frank Green, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15437 Issued in OH

Practice address

19 Executive Center Dr
Chillicothe, OH 45601

Phone

(740) 773-4066

Fax

(740) 773-9174

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

Practice roles

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

• Donna J Miller DMD Daniel F Green DDS and Jeremy D Crabtree DDS Inc

  • Dental Clinic/Center
  • Chillicothe, OH
  • NPI 1407933641
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215014451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-773-4066",
            "fax_number": "740-773-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EXECUTIVE CENTER DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-773-4066",
            "fax_number": "740-773-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DANIEL",
        "middle_name": "FRANK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333473",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Christina Gray, CDCA
• Sheilah M. Gray, D.D.S.
• Tina Kay Gray, RN, CDE
• Great Seal Dental Surgery, LLC
• Dominik S. Greda, M.D.
• June Green, LSW
• Ruth Ellen Green
• Kimberly Sue Greene
• John Greenlees
• Aubrianna Yvonne Greenwalt, LCDCIII

• General Practice Dentistry in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• General Practice Dentistry in Ohio

• 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.