Active NPI
Terry W Greenstein, D.D.S.
- Dentist
- Newton, KS
National Provider Identifier
1710210596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6648
- Practice address
- 215 S Pine St
Newton, KS 67114-3765 - Phone
- (316) 283-6103
- Fax
- (316) 283-1333
- NPI assigned
- Sep 11, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6648 | KS | Primary |
Addresses
Primary practice location
215 S Pine St
Newton, KS 67114-3765
Mailing address
215 S Pine St
Newton, KS 67114-3765
Phone (316) 283-6103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100212200B | Medicaid | KS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6648 | KS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1710210596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S PINE ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671143765",
"telephone_number": "316-283-6103",
"fax_number": "316-283-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S PINE ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671143765",
"telephone_number": "316-283-6103",
"fax_number": "316-283-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSTEIN",
"first_name": "TERRY",
"middle_name": "W",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-11",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "6648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100212200B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.