Dawson Green, NP, DC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-81608-101 Issued in KS

Practice address

841 S Hillside St
Wichita, KS 67211-3005

Phone

(316) 364-3030

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: dawson.green.1@29422.direct.athenahealth.com

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1528690732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 14TH ST",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608728",
            "telephone_number": "425-457-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113005",
            "telephone_number": "316-364-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 Metcalf Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662022339",
            "country_code": "US",
            "telephone_number": "913-499-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DAWSON",
        "name_prefix": "Dr.",
        "credential": "NP, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016016282",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020032639",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10013535",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81608-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Greaves, M.D.
• Addie Tennille Greb, ARNP
• Cristal Grecco
• Frank Greco, PHD
• Carla Green, RN
• Elizabeth A Green, ARNP
• Jeanetta Faye Green
• Keyonia Green
• Kimerly Ann Green, COTA/L
• Kristen Jessica Green, COTA

• Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.