Claudia D Green, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21432 Issued in FL

Practice address

250 Palm Coast Pkwy NE Unit 606
Palm Coast, FL 32137-8225

Phone

(386) 446-5595

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

No

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 FL

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

State licenses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1649654807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 606",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378225",
            "telephone_number": "386-446-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 606",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378225",
            "telephone_number": "386-446-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13651 Hunters Oak Dr",
            "address_2": "105A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328377679",
            "country_code": "US",
            "telephone_number": "407-745-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CLAUDIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Pharmacy Solutions LLC
• Donovan Eljamah Graham
• Annissa Natonnia Gray
• Lindsay Marie Gray, APRN
• Anngela Green
• Christiane Greenberg
• Elizabeth Greenberger, LCSW
• Gregory a. Cisneros MD PA
• Steven Gregory, PT, DPT
• Donna Marie Griffin, MFC # 42984

• Dentist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.