Susan Green, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13961 Issued in MD

Practice address

3704 Perry Ave
Kensington, MD 20895-2118

Phone

(301) 933-1833

NPI assigned

Jan 27, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woo Wang DDS, LLC

  • Dentist
  • Kensington, MD
  • NPI 1922156488
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1336470533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 CHERBOURG DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543106",
            "telephone_number": "212-724-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 PERRY AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952118",
            "telephone_number": "301-933-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajiv Goyal, MD
• Benjamin Grace
• Leslie Annette Grant Albert, OD, FAAO
• Cheryl Gray, PHARM.D.
• Jonah David Green, MSW
• David Nathan Greenblum, MD
• Amy Greene, LCSW-C
• Patricia D Greene, MS CCCA
• Zachary Durand Grogan
• Emily Rachel Grossi, OTR/L

• General Practice Dentistry in Kensington, MD
• Providers in Kensington, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.