Green States Anesthesia PLLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

GREEN STATES ANESTHESIA PLLC

Practice address

1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338

Phone

(800) 783-8584

Fax

(800) 783-8584

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Nora Brady

Title

Manager

Phone

(702) 581-2819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1699252544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 E INDIGO BAY CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341737",
            "telephone_number": "702-581-2819",
            "fax_number": "866-329-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CARAWAY CT STE 1050",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745338",
            "telephone_number": "800-783-8584",
            "fax_number": "800-783-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3343 E Indigo Bay Ct",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341737",
            "country_code": "US",
            "telephone_number": "702-581-2819",
            "fax_number": "866-329-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN STATES ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-581-2819"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allashia Graham-Bey, BCBA
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• Robyn Gray, LICSW, LCSW-C
• Greater Good Counseling, Coaching, and Consulting, Services, LLC
• Revenda Greene, PT
• Kayla Jade Greenfield
• Ebony Griffin
• Kathy D Griffin, LCPC
• Samantha Griffin, CLD, CPICD

• Dental Anesthesiology in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Dental Anesthesiology in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.