Dr. Greene Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47643 Issued in CA

Legal business name

DR. GREENE DENTAL, INC.

Practice address

2480 Mission St
#106
San Francisco, CA 94110

Phone

(415) 285-6966

Fax

(415) 285-1319

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Adriana Navarrete Greene, DDS

Title

Ceo

Phone

(415) 285-6966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1275708299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST",
            "address_2": "#106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-285-6966",
            "fax_number": "415-285-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST",
            "address_2": "#106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-285-6966",
            "fax_number": "415-285-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GREENE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "NAVARRETE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-285-6966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.