Organization Active NPI

Green Dentistry, LLC

  • Dental Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1245844851
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREEN DENTISTRY, LLC
Practice address
8611 2ND Ave Ste 201
Silver Spring, MD 20910-6349
Phone
(301) 359-1188
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Kristen Millender, DDSNPI 1144877572
Title
Manager/Clinician
Phone
(305) 713-7796

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

8611 2ND Ave Ste 201
Silver Spring, MD 20910-6349

Mailing address

7903 Orion Cir Unit 359
Laurel, MD 20724-3112
Phone (305) 713-7796

National Provider Directory

National Provider Directory

Locations

8611 2nd Ave
Ste 201
Silver Spring, MD 20910
Phone (301) 359-1188

Practitioners & affiliated clinicians

Practitioners 1

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": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1245844851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 ORION CIR UNIT 359",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207243112",
            "telephone_number": "305-713-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 2ND AVE STE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106349",
            "telephone_number": "301-359-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MILLENDER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "MANAGER/CLINICIAN",
        "authorized_official_telephone_number": "305-713-7796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.