Terry W Greenstein DDS LLC

Key facts

NPI

1740649342

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Dentistry 1223G0001X

Legal business name

TERRY W GREENSTEIN DDS LLC

Practice address

126 W B Ave
Kingman, KS 67068-1309

Phone

(620) 532-3051

Fax

(620) 532-3082

NPI assigned

Feb 11, 2016

Organization subpart

No

Authorized official

Name

Dr. Terry W Greenstein, DDS

Title

Owner

Phone

(316) 619-8768

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2016.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1740649342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W B AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681309",
            "telephone_number": "620-532-3051",
            "fax_number": "620-532-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W B AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681309",
            "telephone_number": "620-532-3051",
            "fax_number": "620-532-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY W GREENSTEIN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-619-8768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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