Greenlake Management, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19762 Issued in FL

Legal business name

GREENLAKE MANAGEMENT, LLC

Practice address

10625 N Military TRL Ste 201
Palm Beach Gardens, FL 33410-6548

Phone

(561) 366-7303

Fax

(561) 366-7305

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Lynn Westcott, DMD

Title

Owner

Phone

(561) 366-7303

Specialties & licenses 2

Addresses

Other names 1

• Hometown Dentistry Doing business as

Locations

Practitioners 1

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

• Alisha Christian, RDH

  • Dental Hygienist
  • Palm Beach Gardens, FL
  • NPI 1326748302
  NPD

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699294132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL STE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106548",
            "telephone_number": "561-366-7303",
            "fax_number": "561-366-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL STE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106548",
            "telephone_number": "561-366-7303",
            "fax_number": "561-366-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLAKE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WESTCOTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-366-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19762",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gray Physical Therapy, Inc
• Vera Gumiela Gray, MMS PA-C
• Heather Nicole Green, PHARMD
• Samantha Greenberg
• Kelly Greene, NBC-HIS
• Hailey Greenwood
• Whitney Gregory
• Nicole S Grey, FNP
• Laura Anne Greyling, MD
• Griffee Dental I PA

• General Practice Dentistry in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• General Practice Dentistry in Florida

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