Active NPI
DRS Green & Henderson Inc
- Oral and Maxillofacial Surgery (Dentist)
- Vinton, VA
National Provider Identifier
1720939895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- DRS GREEN & HENDERSON INC
- Practice address
- 895 E Washington Ave
Vinton, VA 24179-2105 - Phone
- (540) 790-6050
- NPI assigned
- Feb 5, 2026
- Last updated
- Feb 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesley Coyner
- Title
- RCM Director
- Phone
- (304) 552-7688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
895 E Washington Ave
Vinton, VA 24179-2105
Mailing address
103 Station Place Way
Hurricane, WV 25526-8747
Phone (304) 720-7819
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2317809 | DRS Brock, Henderson, Dprisco,Ravelo&Green | Certificate of waiver | Jan 30, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- DRS Green Henderson Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Roanoke, VA
- NPI 1013859909
-
- Oral and Maxillofacial Surgery (Dentist)
- Lynchburg, VA
- NPI 1861358459
Locations
895 E Washington Ave
Vinton, VA 24179
Phone (540) 344-7252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1720939895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 STATION PLACE WAY",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268747",
"telephone_number": "304-720-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 E WASHINGTON AVE",
"city": "VINTON",
"state": "VA",
"postal_code": "241792105",
"telephone_number": "540-790-6050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS GREEN & HENDERSON INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "COYNER",
"authorized_official_first_name": "LESLEY",
"authorized_official_title_or_position": "RCM DIRECTOR",
"authorized_official_telephone_number": "304-552-7688"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vinton, VA
- Denise Dillingham, PA-C
- Jake E Divers IV, PT, DPT
- Alison Danielle Dowdy, PRS
- Downhome Pharmacy-Vinton
- DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc (Mt State Oral & Facial Surgery)
- Allyse Renae Dunlop, MA, LPC
- Richard Kindley Dunn, MD
- Nicole Q Dye, SLP
- Dynamic Medical LLC
- Ebenezer Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.