Steven M Green D D S P C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8575 Issued in IN

Legal business name

STEVEN M GREEN D D S P C

Practice address

4745 Statesmen Dr Ste a
Indianapolis, IN 46250-5649

Phone

(317) 482-7900

Fax

(317) 792-8588

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Michael Green, DDS

Title

President

Phone

(317) 482-7900

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Steve Michael Green, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1801912712
  NPD
• Jason Renz, D.D.S.

  • Dentist
  • Fishers, IN
  • NPI 1144603242
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1467578344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 STATESMEN DR STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505649",
            "telephone_number": "317-482-7900",
            "fax_number": "317-792-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 STATESMEN DR STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505649",
            "telephone_number": "317-482-7900",
            "fax_number": "317-792-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M GREEN D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-10-20",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-482-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8575",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Steuer, PHARM D
• Brian Lee Steuerwald, PHD, HSPP
• Steve Douglas, DDS, PC
• Steven F Isenberg MD Inc
• Steven K Ahlfeld MD, PC
• Steven Mark Herman
• Steven Segal, M.D., PC
• Amanda Jean Stevens-Udeze, D.O.
• Abby Kathleen Stevens, LCGC
• Amanda Jo Stevens, LMFT

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.