Jeffrey Green

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013748 Issued in MI

Practice address

149 N Midland St
Merrill, MI 48637

Phone

(989) 643-7856

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

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.

• Jeffrey R. Green DDS PC

  • General Practice Dentistry
  • Merrill, MI
  • NPI 1134263239
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649480245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N MIDLAND ST",
            "city": "MERRILL",
            "state": "MI",
            "postal_code": "48637",
            "telephone_number": "989-643-7856",
            "fax_number": "989-643-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N MIDLAND ST",
            "city": "MERRILL",
            "state": "MI",
            "postal_code": "48637",
            "telephone_number": "989-643-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Briggs
• Reese Michael Engel, OD
• Amy Lorraine Huey, L.M.T.
• Jeffrey R. Green DDS PC
• Rebecca Lynn Kumar, LPTA
• Mobile Phlebotomy of Central Michigan
• Nichole Platt, LLMSW

• General Practice Dentistry in Merrill, MI
• Providers in Merrill, 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 Jul 8, 2007; 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.