Darren Scott Greenwell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7709 Issued in KY

Practice address

6234C North Preston Hwy
Louisville, KY 40229-4487

Phone

(502) 955-6134

Fax

(502) 955-6135

NPI assigned

Dec 5, 2005

Last updated

Feb 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 KY

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

Locations

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

• Greenwell Family Dentistry, PSC

  dba Generations Family Dentistry

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1205070034
  NPD Authorized official

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1295719078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234C NORTH PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40229",
            "telephone_number": "502-955-6134",
            "fax_number": "502-955-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234C NORTH PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402294487",
            "telephone_number": "502-955-6134",
            "fax_number": "502-955-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "DARREN",
        "middle_name": "SCOTT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002631",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Greenwell, RBT
• Angela Greenwell, RN, MSNA, CCRN, CRNA
• Ann Lake Greenwell, DMD
• Constance S Greenwell, COTA
• Dana M Greenwell, DI
• Derrick Greenwell
• Emily Greenwell, OTR/L
• Erin Greenwell, RBT
• Irelend Grace Greenwell, OTD
• Jaclyn Greenwell, PHARMD

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

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