Active NPI
Anne Elizabeth Green, D.M.D.
- Dentist
- Moore Haven, FL
National Provider Identifier
1578871067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18861
- Practice address
- 1021 Health Park Cir
Moore Haven, FL 33471-6206 - Phone
- (863) 946-0405
- Fax
- (863) 946-0145
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18861 | FL | Primary |
Addresses
Primary practice location
1021 Health Park Cir
Moore Haven, FL 33471-6206
Mailing address
4450 S Tiffany Dr
West Palm Beach, FL 33407-3241
Phone (561) 844-9443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18861 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1578871067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 S TIFFANY DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073241",
"telephone_number": "561-844-9443",
"fax_number": "561-844-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 HEALTH PARK CIR",
"city": "MOORE HAVEN",
"state": "FL",
"postal_code": "334716206",
"telephone_number": "863-946-0405",
"fax_number": "863-946-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "18861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore Haven, FL
- Glades County Board of County Commissioners - EMS
- Glades County School District
- Glades County School District
- Glades County School District
- Glades County School District
- Stephanie Anne Heredia
- Kristen L Horn, M.ED, RBT
- Lyonel A. Jean-Baptiste, M.D.
- Harry Jean, FNP-BC
- Johnson Riverside Family Practice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.