Larry P. Green DDS Inc., PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LARRY P. GREEN DDS INC., PC

Practice address

102 N Egan Ave
Madison, SD 57042-2909

Phone

(605) 256-4969

Fax

(605) 256-4717

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Larry Paul Green Jr., DDSNPI 1912076985

Title

Dentist

Phone

(605) 256-4969

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Paul Green Sr., DDS

  • Dentist
  • Madison, SD
  • NPI 1912076985
  NPD Authorized official

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1760179519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570420243",
            "telephone_number": "605-256-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N EGAN AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570422909",
            "telephone_number": "605-256-4969",
            "fax_number": "605-256-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY P. GREEN DDS INC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-256-4969",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M. Donlin, D.M.D., P.C.
• Beth Ann King, PT, DPT
• Leah L Knofczynski
• Lance Koenig, ED.S.
• Carl Lang, MD
• Laura Elizabeth Larsen, OTR/L
• Jodie S Larson, OD
• Kimberly Leibel, ATC, NRP
• Hayley Lindberg, LAT,ATC
• Kathleen Lindsay

• All providers in Madison, SD
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.