NPIMap

Individual provider Active NPI

R. Kevin Greenway, D.D.S.

  • General Practice Dentistry
  • Vinton, VA
National Provider Identifier
1295954774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007925 Issued in VA
Practice address
614 E.Washington Ave.
Vinton, VA 24179
Phone
(540) 342-2949
Fax
(540) 345-3919
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007925 VA Primary

Addresses

Primary practice location

614 E.Washington Ave.
Vinton, VA 24179

Mailing address

P.O.Box 368
Vinton, VA 24179
Phone (540) 342-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401007925VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
R. Kevin Greenway, D.D.S. Ralph N. Greenway, D.D.S., P.C. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: r.kevin.greenway.1@18289.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295954774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 368",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "24179",
            "telephone_number": "540-342-2949",
            "fax_number": "540-345-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E.WASHINGTON AVE.",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "24179",
            "telephone_number": "540-342-2949",
            "fax_number": "540-345-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "R. KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.