Kenneth M. Greenberg DDS & Nancy E. Freibaum DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10056 Issued in FL

Legal business name

KENNETH M. GREENBERG DDS & NANCY E. FREIBAUM DDS PA

Practice address

8529 Gunn Hwy
Odessa, FL 33556-3288

Phone

(813) 920-6608

Fax

(813) 920-8816

NPI assigned

May 21, 2010

Last updated

May 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Greenberg, D.D.S.NPI 1932673217

Title

Secretary/Dentist

Phone

(813) 920-6608

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Mark Greenberg, DDS

  • General Practice Dentistry
  • Odessa, FL
  • NPI 1932673217
  NPD (past) Authorized official
• Nancy Ellen Freibaum, DDS

  • Dentist
  • Odessa, FL
  • NPI 1336550664
  NPD (past)

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1538488176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8529 GUNN HWY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563288",
            "telephone_number": "813-920-6608",
            "fax_number": "813-920-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 GUNN HWY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563288",
            "telephone_number": "813-920-6608",
            "fax_number": "813-920-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. GREENBERG DDS & NANCY E. FREIBAUM DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "SECRETARY/DENTIST",
        "authorized_official_telephone_number": "813-920-6608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Healthcare Services, LLC
• Integrative Therapy Solutions, Incorporated
• Janibelle Jackson Stuart
• Hayder A Kafaji, DDS
• Hugo Adam Keim, M.D.
• Michael Kern, PA-C
• Kids & Co Pediatric Dentistry
• Hilary Elizabeth Kingery
• Melissa Knight, RPH
• Joshua E Kolanko, C-FNP

• General Practice Dentistry in Odessa, FL
• Providers in Odessa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.