Randi Cline Green, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3505-09 Issued in MS

Practice address

102 Pineview Dr
Flowood, MS 39232-6039

Phone

(601) 573-8484

NPI assigned

Jul 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Randi Cline Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1538398003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 COPPER CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571043",
            "telephone_number": "601-573-8484",
            "fax_number": "601-573-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PINEVIEW DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392326039",
            "telephone_number": "601-573-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RANDI",
        "middle_name": "CLINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3505-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDI",
            "last_name": "CLINE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Caroline Goss
• Grace Behavioral Services LLC
• Jennifer Grantham, PHARMD
• Anna Gray-Lewis, P-LPC
• Anna M Gray, PHARMD
• Tiffany Priscilla Green, D.M.D.
• Torrance Tremayne Green, M.D.
• Angela M Greene, PMHNP
• Stephen A Greer, D.M.D.
• Tina M Gregg, NP-C

• Dentist in Flowood, MS
• Providers in Flowood, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.