James Royce Green, D.D.S., P.A.

Primary specialty

DentistTaxonomy code 122300000X

License

D16192 Issued in TX

Practice address

2200 Kell Blvd.
Wichita Falls, TX 76309

Phone

(940) 322-2252

Fax

(940) 322-7090

NPI assigned

Mar 28, 2007

Last updated

Nov 15, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Dentist

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Starimage TMJ & Sleep Center PLLC

  • General Practice Dentistry
  • Southlake, TX
  • NPI 1568331957
  Medicare reassignment NPD Authorized official
• James R. Green D.D.S,PA

  • Dentist
  • Wichita Falls, TX
  • NPI 1972911444
  Authorized official Same address or phone
• Star Image Dentistry of Southlake PLLC

  • Dental Clinic/Center
  • Southlake, TX
  • NPI 1215856836
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1316066723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 KELL BLVD.",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76309",
            "telephone_number": "940-322-2252",
            "fax_number": "940-322-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KELL BLVD.",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76309",
            "telephone_number": "940-322-2252",
            "fax_number": "940-322-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAMES",
        "middle_name": "ROYCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "D16192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lane Alexander Gray, MD
• Grayline Clinical Drug Trials
• Greater Life Caregiving Services LLC.
• Anastasia N Green, LAT,ATC
• Chris Green
• Lauryn Gregg
• Gregory Paul Friend Dba Friendly Mobility
• Mareike Greiler, MS CFY SLP
• Ashlee Nicole Gresham, MD
• Denise Marie Gresham

• Dentist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.