NPIMap

Organization Active NPI

Dr Jacquelyn Green DDS Lovers Lane PLLC

Doing business as FLOSS Dental

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1528398484
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR JACQUELYN GREEN DDS LOVERS LANE PLLC
Doing business as
FLOSS Dental
Practice address
5730 W Lovers LN
Dallas, TX 75209-5116
Phone
(214) 352-0101
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Dr. Jacquelyn Green, DDS
Title
Owner/President/Ceo
Phone
(214) 352-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5730 W Lovers LN
Dallas, TX 75209-5116

Mailing address

5730 W Lovers LN
Dallas, TX 75209-5116
Phone (214) 352-0101

Other names 1

  • FLOSS Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5730 W Lovers Ln
Dallas, TX 75209
Phone (214) 352-0101

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1528398484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095116",
            "telephone_number": "214-352-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095116",
            "telephone_number": "214-352-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JACQUELYN GREEN DDS LOVERS LANE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-352-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLOSS Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.