Matthew Jonathon Green, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020663 Issued in MI

Practice address

519 W Main St
Milan, MI 48160-9559

Phone

(734) 439-1543

NPI assigned

Jun 4, 2012

Last updated

Jan 12, 2023By the provider in NPPES

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grandview Dental Associates PLLC

  • Dental Clinic/Center
  • Traverse City, MI
  • NPI 1083373583
  NPD (past)
• Milan Dental Associates, D.D.S., P.C.

  • General Practice Dentistry
  • Milan, MI
  • NPI 1902809726
  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1619238987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6266 VINEYARD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085919",
            "telephone_number": "248-760-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W MAIN ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481609559",
            "telephone_number": "734-439-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MATTHEW",
        "middle_name": "JONATHON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina L Gale, LPC, NCC
• Paige Garcia Akiyama, LMSW
• Pamela Garcia, RD
• Carrie Michelle Glass, MASSAGE THERAPIST
• Jaclyn Goodvin, OD
• Stephen R. Gregg
• Sarah Gretz, RN
• Ashlynn F Griffin, RN, BSN
• Laurie Groves
• Timothy Haines, PHARM D

• General Practice Dentistry in Milan, MI
• Providers in Milan, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.