Individual provider Active NPI

Jennifer Rebecca Greenley, D.D.S.

  • General Practice Dentistry
  • New Castle, DE
National Provider Identifier
1215063342
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001237 Issued in DE
Practice address
702 E Basin Rd
Suite 1
New Castle, DE 19720-4263
Phone
(302) 322-0245
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G3-0000332 DE
General Practice Dentistry 1223G0001X G1-0001237 DE Primary

Addresses

Primary practice location

702 E Basin Rd
Suite 1
New Castle, DE 19720-4263

Mailing address

28 Aronimink Dr
Newark, DE 19711-3833
Phone (302) 737-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409001706 DE Order and Referring Only - General PracticePractitioner - General Practice 4880912526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G3-0000332DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James R. Forshey, DMD, PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1215063342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ARONIMINK DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113833",
            "telephone_number": "302-737-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E BASIN RD",
            "address_2": "SUITE 1",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204263",
            "telephone_number": "302-322-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEY",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G3-0000332",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.