Active NPI
Donald James Greeley, DMD
- General Practice Dentistry
- Weymouth, MA
National Provider Identifier
1679677785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9155
- Practice address
- 4 Richmond St
Weymouth, MA 02188-2519 - Phone
- (781) 337-0406
- Fax
- (781) 335-3566
- NPI assigned
- Sep 11, 2006
- 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 | 9155 | MA | Primary |
Addresses
Primary practice location
4 Richmond St
Weymouth, MA 02188-2519
Mailing address
53 Colonial Rd
Hingham, MA 02043-4827
Phone (781) 749-3645
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08419390 | Other | MA | EMPLOYER ID |
| 40107 | Other | MA | HARVARD PILGRIM |
| 0215856 | Medicaid | MA | |
| X04077 | Other | MA | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679677785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 COLONIAL RD",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434827",
"telephone_number": "781-749-3645",
"fax_number": "781-749-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 RICHMOND ST",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021882519",
"telephone_number": "781-337-0406",
"fax_number": "781-335-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREELEY",
"first_name": "DONALD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "9155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER ID",
"identifier": "08419390",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "40107",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0215856",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X04077",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- 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.