Danielle Greene, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011973 Issued in GA

Practice address

1188 Ralph David Abernathy Blvd SW
Suite 101
Atlanta, GA 30310-1716

Phone

(404) 758-0770

Fax

(404) 581-5292

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1336234129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 RALPH DAVID ABERNATHY BLVD SW",
            "address_2": "SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101716",
            "telephone_number": "404-758-0770",
            "fax_number": "404-581-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 RALPH DAVID ABERNATHY BLVD SW",
            "address_2": "SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101716",
            "telephone_number": "404-758-0770",
            "fax_number": "404-581-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000814965E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000814965F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000814965H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenbriar Foot & Ankle Center
• Greenbriar Foot & Ankle Center
• Alton Roger Greene
• Caitlyn Michelle Greene, PA-C
• Candace K Greene, MD
• David Greene, M.D.
• Deajah Greene, FNP
• Devon Greene, MD, MPH
• Erika Zynette Greene, PA
• Grace Mae Greene, MSW

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.