Organization Active NPI

Anthony J Greenwood, DDS, LLC

  • Dental Clinic/Center
  • Baxter Springs, KS
National Provider Identifier
1336537786
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5590 Issued in KS
Legal business name
ANTHONY J GREENWOOD, DDS, LLC
Practice address
1440 Park Ave
Baxter Springs, KS 66713-2727
Phone
(620) 856-2173
Fax
(620) 856-2414
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Anthony J Greenwood, DDS
Title
Owner/Dentist
Phone
(620) 856-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5590 KS Primary

Addresses

Primary practice location

1440 Park Ave
Baxter Springs, KS 66713-2727

Mailing address

1440 Park Ave
Baxter Springs, KS 66713-2727
Phone (620) 856-2173

National Provider Directory

National Provider Directory

Locations

1440 Park Ave
Baxter Springs, KS 66713
Phone (620) 856-2173

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1336537786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 PARK AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132727",
            "telephone_number": "620-856-2173",
            "fax_number": "620-856-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 PARK AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132727",
            "telephone_number": "620-856-2173",
            "fax_number": "620-856-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J GREENWOOD, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "620-856-2173",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "5590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.