Green Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60022722 Issued in WA

Legal business name

GREEN DENTAL

Practice address

1008 5TH St
Wenatchee, WA 98801-1823

Phone

(509) 662-8815

Fax

(509) 667-8725

NPI assigned

Jul 13, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trish Nierman

Title

Office Manager

Phone

(509) 662-8815

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Kersjes, DMD

  • Dentist
  • Wenatchee, WA
  • NPI 1225522972
  NPD (past)
• Frederick T Melton, DDS

  • General Practice Dentistry
  • Wenatchee, WA
  • NPI 1245248350
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1699128728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 5TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011823",
            "telephone_number": "509-662-8815",
            "fax_number": "509-667-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 5TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011823",
            "telephone_number": "509-662-8815",
            "fax_number": "509-667-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "NIERMAN",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-662-8815"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "60022722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "60022722",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph R Grant
• Megan Elizabeth Grantham, MS, CGC
• Anton Grasch, MD
• Kasey Nicole Grass, PH.D.
• Charles Alexander Grayson, PA-C
• Larry S Green, MD
• Philip Gregg, MA, CCC/SLP
• Taylor Marie Greig, LMHCA
• Holly Elizabeth Grennan, SUDPT
• Navjot Kaur Grewal

• Dental Clinic/Center in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.