Joan M Greco, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DT 1813 Issued in HI

Practice address

65-1230 Mamalahoa Hwy Ste C10
Kamuela, HI 96743-8445

Phone

(808) 885-9000

NPI assigned

Dec 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Kona Center of Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Kamuela, HI
  • NPI 1063647931
  NPD (past) Authorized official
• Pacific Rim Cardiovascular Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kahului, HI
  • NPI 1891013199
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750444030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY STE C10",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438445",
            "telephone_number": "808-885-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY STE C10",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438445",
            "telephone_number": "808-885-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT 1813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03442901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA AND BCBS",
            "identifier": "38042",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon D Gerdsen, M.D.
• Yvonne Peggy Giron, LMT
• Amy Elizabeth Gordon, M.A. L.M.H.C. C.D.P.
• Melissa S Gosland, MD
• Monica Gotreau, M,A., BCBA
• Lois L. W. Gregg, MD
• Peter Edward Gregg, MD
• Miki N Grimes, NP
• Shahar Groode, RBT
• Jed A Groom, MD

• Oral and Maxillofacial Surgery (Dentist) in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.