Organization Active NPI

Charles H Greenberg, M.D.,P.C.

  • Specialist
  • Troy, MI
National Provider Identifier
1376700971
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHARLES H GREENBERG, M.D.,P.C.
Practice address
3001 W Big Beaver Rd
Suite 105
Troy, MI 48084-3101
Phone
(248) 649-2820
Fax
(248) 649-1444
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Dr. Dana Jennifer Greenberg, MDNPI 1487627428
Title
Owner/Ophthalmologist
Phone
(248) 649-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3001 W Big Beaver Rd
Suite 105
Troy, MI 48084-3101

Mailing address

3001 W Big Beaver Rd
Suite 105
Troy, MI 48084-3101
Phone (248) 649-2820

Other names 1

  • GREENBERG LASER EYE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120809000672 MI Part B Supplier - Clinic/Group Practice 9032321823 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

3001 W Big Beaver Rd
Ste 105
Troy, MI 48084
Phone (248) 649-2820

3001 W Big Beaver Rd
Troy, MI 48084
Phone (248) 649-2820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1376700971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W BIG BEAVER RD",
            "address_2": "SUITE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843101",
            "telephone_number": "248-649-2820",
            "fax_number": "248-649-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W BIG BEAVER RD",
            "address_2": "SUITE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843101",
            "telephone_number": "248-649-2820",
            "fax_number": "248-649-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H GREENBERG, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "248-649-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENBERG LASER EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.