Andrew Charles Greenslade, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14330 Issued in MN

Practice address

2112 Viking Dr NW Ste a
Rochester, MN 55901-3522

Phone

(507) 288-1101

Fax

(507) 288-1710

NPI assigned

Jul 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Honor Dental PLLC

  • Dental Clinic/Center
  • Rochester, MN
  • NPI 1003702408
  NPD Authorized official

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1740776335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 VIKING DR NW STE A",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013522",
            "telephone_number": "507-288-1101",
            "fax_number": "507-288-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 VIKING DR NW STE A",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013522",
            "telephone_number": "507-288-1101",
            "fax_number": "507-288-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSLADE",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001886-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel C Green, M.D.
• Eddie Leon Greene, M.D.
• Andrew Christopher Greenlund, M.D.
• Laura Greenlund, M.D., PH.D.
• Jacob Ron Greenmyer, MD
• Nachole Greenslade
• Jason Derek Greenwood, MD
• Katie Greger
• Kirby John Greger
• Coyette F Gregerson-Giles, APRN, CNP

• All providers in Rochester, MN
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.