Active NPI
Daniel James Green, DDS
- Dentist
- Fountainville, PA
National Provider Identifier
1447454988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037013
- Practice address
- PA Route 313
Suite 105
Fountainville, PA 18923-0175 - Phone
- (215) 345-0822
- Fax
- (215) 345-7571
- NPI assigned
- Jun 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037013 | PA | Primary |
Addresses
Primary practice location
PA Route 313
Suite 105
Fountainville, PA 18923-0175
Mailing address
PO Box 175
Route 313 Executive Center
Fountainville, PA 18923-0175
Phone (215) 345-0822
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS037013 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447454988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175",
"address_2": "ROUTE 313 EXECUTIVE CENTER",
"city": "FOUNTAINVILLE",
"state": "PA",
"postal_code": "189230175",
"telephone_number": "215-345-0822",
"fax_number": "215-345-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PA ROUTE 313",
"address_2": "SUITE 105",
"city": "FOUNTAINVILLE",
"state": "PA",
"postal_code": "189230175",
"telephone_number": "215-345-0822",
"fax_number": "215-345-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DANIEL",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountainville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.