NPIMap

Organization Active NPI

Dr Green & Associates PC

  • Dentist
  • Frankfort, IN
National Provider Identifier
1386840809
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54000603A Issued in IN
Legal business name
DR GREEN & ASSOCIATES PC
Practice address
1961 South Jackson St
Frankfort, IN 46041-3359
Phone
(765) 659-3078
NPI assigned
Jun 22, 2007
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Wiley F Green, DDSNPI 1043737836
Title
President
Phone
(765) 659-3078

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
Dentist 122300000X 54000603A IN Primary

Addresses

Primary practice location

1961 South Jackson St
Frankfort, IN 46041-3359

Mailing address

PO Box 301
1961 S Jackson St
Frankfort, IN 46041-3359
Phone (765) 659-3078

National Provider Directory

National Provider Directory

Locations

1961 S Jackson St
Frankfort, IN 46041
Phone (765) 659-3078

Practitioners & affiliated clinicians

Practitioners 1

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1386840809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "address_2": "1961 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413359",
            "telephone_number": "765-659-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 SOUTH JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413359",
            "telephone_number": "765-659-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GREEN & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-659-3078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "54000603A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.