Evie Alice Green-Dileo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16906 Issued in TX

Practice address

1208 W Elm St
Orange, TX 77630-5535

Phone

(409) 883-3131

Fax

(409) 883-6811

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Evie Alice Green Former name

Medicare fee-for-service enrollment

Enrolled in TX

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin J Dileo DDS Evie Green-Dileo DDS PC

  • General Practice Dentistry
  • Orange, TX
  • NPI 1063698918
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710069612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W ELM ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776305535",
            "telephone_number": "409-883-3131",
            "fax_number": "409-883-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W ELM ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776305535",
            "telephone_number": "409-883-3131",
            "fax_number": "409-883-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-DILEO",
        "first_name": "EVIE",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2001054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "706854",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVIE",
            "last_name": "GREEN",
            "middle_name": "ALICE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Golden Triangle Living Centers, Inc. (Nottingham Living Center)
• Gordon and Parker, LLP
• Victoria Juda Gordon, MD
• Kathryn Colleen Granger, LMFT
• Green & Dileo Dentistry GPS PLLC (Green & DiLeo Dentistry)
• Becky Ann Green, NP
• Elizabeth Jane Green, FNP-C
• Rebecca S. Greer, M.S.P.T.
• Griffith Family Health and Convenient Care Center
• Melana C Griffith, FNPC

• General Practice Dentistry in Orange, TX
• Providers in Orange, TX by specialty
• General Practice Dentistry in Texas

• 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.