Neal C Green, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28698 Issued in CA

Practice address

27141 Hidaway Ave
Suite 201
Canyon Country, CA 91351-4131

Phone

(661) 251-1320

NPI assigned

Jun 27, 2006

Sex

Male

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 CA

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

Practice roles

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.

• Neal C. Green, D.D.S.,Inc

  • General Practice Dentistry
  • Canyon Country, CA
  • NPI 1912396441
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679500359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 201",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-251-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 201",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-251-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NEAL",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Go Legaspi, NP
• Gods Promise Medical
• Good Shepherd Transport LLC
• Grace of Rosa LLC
• Alejandra Green, M.D.
• Carolyn Griffin
• Michelle Nufable Hagen, LMFT
• Frances Mae Hall, LVN
• Maria Hamilton
• Stacy Hampton

• General Practice Dentistry in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• General Practice Dentistry in California

• 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.
• 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.