Organization Active NPI

Dr. Rebecca Greer

  • General Practice Dentistry
  • Tompkinsville, KY
National Provider Identifier
1386828127
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6219 Issued in KY
Legal business name
DR. REBECCA GREER
Practice address
42 Executive Drive
Tompkinsville, KY 42167
Phone
(270) 487-5474
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Rebecca Lynn GreerNPI 1932260940
Title
Owner
Phone
(270) 487-5474

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
General Practice Dentistry 1223G0001X 6219 KY Primary

Addresses

Primary practice location

42 Executive Drive
Tompkinsville, KY 42167

Mailing address

42 Executive Drive
Tompkinsville, KY 42167
Phone (270) 487-5474

Other identifiers 1

IdentifierTypeStateIssuer
45004298MedicaidKY

National Provider Directory

National Provider Directory

Locations

42 Executive Dr
Tompkinsville, KY 42167
Phone (270) 487-5474

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1386828127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 EXECUTIVE DRIVE",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "42167",
            "telephone_number": "270-487-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 EXECUTIVE DRIVE",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "42167",
            "telephone_number": "270-487-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. REBECCA GREER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-487-5474"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45004298",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tompkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.