Active NPI
Bruce Ion Greenstein, D.M.D.
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1619047487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105190
- Practice address
- 162 Adams St
Suite 200
Denver, CO 80206-5239 - Phone
- (303) 333-4209
- Fax
- (303) 333-0095
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105190 | CO | Primary |
Addresses
Primary practice location
162 Adams St
Suite 200
Denver, CO 80206-5239
Mailing address
162 Adams St
Suite 200
Denver, CO 80206-5239
Phone (303) 333-4209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-1075859 | Other | CO | TAX ID |
Other names 1
- Dr. Bruce Ion Greenstein
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 |
|---|---|---|---|
| 105190 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce I.Greenstein DMD PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Denver, CO
- NPI 1467810002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1619047487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 ADAMS ST",
"address_2": "SUITE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802065239",
"telephone_number": "303-333-4209",
"fax_number": "303-333-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 ADAMS ST",
"address_2": "SUITE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802065239",
"telephone_number": "303-333-4209",
"fax_number": "303-333-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSTEIN",
"first_name": "BRUCE",
"middle_name": "ION",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "105190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "84-1075859",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRUCE",
"last_name": "GREENSTEIN",
"middle_name": "ION",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.