Active NPI
John Bradley Greiner, D.D.S.
- General Practice Dentistry
- Des Moines, IA
National Provider Identifier
1639217102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6670
- Practice address
- 4214 Fleur Dr
Suite 6
Des Moines, IA 50321-2387 - Phone
- (515) 285-1694
- Fax
- (515) 285-1636
- NPI assigned
- Feb 4, 2007
- 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 | 6670 | IA | Primary |
Addresses
Primary practice location
4214 Fleur Dr
Suite 6
Des Moines, IA 50321-2387
Mailing address
4214 Fleur Dr
Suite 6
Des Moines, IA 50321-2387
Phone (515) 285-1694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007203 | Medicaid | IA |
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 |
|---|---|---|---|
| 6670 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John B Greiner, DDS, 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.
-
- Dental Clinic/Center
- Des Moines, IA
- NPI 1841457215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1639217102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 FLEUR DR",
"address_2": "SUITE 6",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503212387",
"telephone_number": "515-285-1694",
"fax_number": "515-285-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 FLEUR DR",
"address_2": "SUITE 6",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503212387",
"telephone_number": "515-285-1694",
"fax_number": "515-285-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREINER",
"first_name": "JOHN",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-04",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "6670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007203",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.