Ryan Q. Green, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

24237 Issued in TX

Practice address

1904 Pine St
Suite 1-D
Abilene, TX 79601-2449

Phone

(325) 232-8939

Fax

(325) 232-8943

NPI assigned

Nov 16, 2007

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ryan.green@direct.myhealthep.org

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.

• Oral & Maxillofacial Surgery of Abilene PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Abilene, TX
  • NPI 1104167055
  Authorized official Same address or phone
• Turtle Creek Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
  • NPI 1699819979
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1295916450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PINE ST",
            "address_2": "SUITE 1-D",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012449",
            "telephone_number": "325-232-8939",
            "fax_number": "325-232-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 PINE ST",
            "address_2": "SUITE 1-D",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012449",
            "telephone_number": "325-232-8939",
            "fax_number": "325-232-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RYAN",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24237",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N4439",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N4439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119414-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nicole Greco
• Anita Jo Green, P.T.
• Arianne Green
• Landon Green
• Roddy Dean Green, ATP
• Ryan Thomas Green, LAT
• Shelly Renee Green, COTA
• Susan Blake Green
• Wade Green, MED, ATC, LAT
• Megan Blair Greenway, CFA

• Oral and Maxillofacial Surgery (Dentist) in Abilene, TX
• Providers in Abilene, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.