Individual provider Active NPI

Gregory B Kiene, D.M.D

  • General Practice Dentistry
  • Justin, TX
National Provider Identifier
1356740146
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34908 Issued in TX
Practice address
17074 FM 156 S
Justin, TX 76247-8704
Phone
(214) 254-3763
NPI assigned
Aug 18, 2014
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 34908 TX Primary

Addresses

Primary practice location

17074 FM 156 S
Justin, TX 76247-8704

Mailing address

17074 FM 156 S
Justin, TX 76247-8704
Phone (214) 254-3763

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
34908TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Dental PLLC CurrentSince Mar 20, 2025 Accepting new patients
Texas Dental Sleep Services, PLLC Dentist PastSince Mar 20, 2025 Accepting new patients

Locations

17074 FM 156 S
Justin, TX 76247
Phone (214) 254-3763

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1356740146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17074 FM 156 S",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762478704",
            "telephone_number": "214-254-3763",
            "fax_number": "214-254-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17074 FM 156 S",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762478704",
            "telephone_number": "214-254-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENE",
        "first_name": "GREGORY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Justin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.