Active NPI
Brandon L Greer, DDS
- Dentist
- Hallsville, TX
National Provider Identifier
1245492370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23839
- Practice address
- 303 S Central
Hallsville, TX 75650 - Phone
- (903) 668-5477
- Fax
- (903) 660-3229
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23839 | TX | Primary |
Addresses
Primary practice location
303 S Central
Hallsville, TX 75650
Mailing address
PO Box 1180
Hallsville, TX 75650-1180
Phone (903) 668-5477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314000372 | TX | Order and Referring Only - Dentist | 0941506828 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23839 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1245492370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1180",
"city": "HALLSVILLE",
"state": "TX",
"postal_code": "756501180",
"telephone_number": "903-668-5477",
"fax_number": "903-660-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S CENTRAL",
"city": "HALLSVILLE",
"state": "TX",
"postal_code": "75650",
"telephone_number": "903-668-5477",
"fax_number": "903-660-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "BRANDON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "23839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.