Michael S Green, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012905 Issued in FL

Practice address

2244 Green Hedges Way
Ste #102
Wesley Chapel, FL 33544-8189

Phone

(813) 973-1440

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1548469562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 GREEN HEDGES WAY",
            "address_2": "STE #102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-973-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 GREEN HEDGES WAY",
            "address_2": "STE #102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-973-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Graves, PMHNP-BC
• Ethel Gray, CNA
• Greater Florida Anesthesiologists, LLC
• Francis Matthew Green, OTD, OTR/L
• Kelly Green
• Joel Greenbaum
• Meghan Gregoire, DPT
• Catherine Ann Gregory, RN
• Abigail Katelyn Greiwe, PA-C
• Terry Griffin

• General Practice Dentistry in Wesley Chapel, FL
• Providers in Wesley Chapel, 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 Jun 7, 2016; 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.