Active NPI
John Green II, D.D.S.
- Endodontics
National Provider Identifier
1750531414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN013783
- Practice address
- US Army Dentac Bavaria
Unit 28038
Apo, AE 09112 - Phone
- (314) 590-2500
- NPI assigned
- Sep 30, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN013783 | GA | Primary |
Addresses
Primary practice location
US Army Dentac Bavaria
Unit 28038
Apo, AE 09112
Mailing address
CMR 411 Box 6741
Apo, AE 09112-0068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 17, 2016 through Mar 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013783 | GA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John O. Green, II, DDS, PC | Endodontics | Current | Accepting new patients |
| Lea Endodontics, Inc | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Endodontics
- Douglasville, GA
- NPI 1437764180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1750531414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "CMR 411 BOX 6741",
"city": "APO",
"state": "AE",
"postal_code": "091120068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "US ARMY DENTAC BAVARIA",
"address_2": "UNIT 28038",
"city": "APO",
"state": "AE",
"postal_code": "09112",
"telephone_number": "314-590-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN013783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.