John O. Green, II, DDS, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JOHN O. GREEN, II, DDS, PC

Practice address

6126 Prestley Mill Rd Ste J
Douglasville, GA 30134-5624

Phone

(770) 489-1450

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. John O Green II, DDSNPI 1750531414

Title

Owner/Dentist

Phone

(770) 489-1450

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

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

• John Green II, D.D.S.

  • Endodontics
  • NPI 1750531414
  NPD Authorized official
• Dennis Lee Starkey, DDS

  • Endodontics
  • Douglasville, GA
  • NPI 1700802089
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1437764180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 PRESTLEY MILL RD STE J",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 PRESTLEY MILL RD STE J",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345624",
            "telephone_number": "770-489-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN O. GREEN, II, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "770-489-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750531414",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "6126 Prestley Mill Rd Ste J",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301345624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melle Natalie Jeudy
• JH Healthcare Staffing Agency LLC
• Jigisha Patel DDS, PC
• Jode Counseling Treatment and Training Services LLC
• Joe F. Hair, Jr., D.M.D., P.a.
• Crystal Johnson, RBT
• Gabrielle Johnson, LCSW
• Jacqueline Johnson
• Jasmine Johnson
• Matthew Johnson

• Endodontics in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.