James Joseph Greenwald, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-022320 Issued in IL

Practice address

209 West Laurel
Springfield, IL 62704-3926

Phone

(217) 544-4411

Fax

(217) 544-4413

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Central Counties Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Taylorville, IL
  • NPI 1013467646

  Corporate Director

  CMS ownership
• Central Counties Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, IL
  • NPI 1225588387

  Corporate Director

  CMS ownership
• Central Counties Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, IL
  • NPI 1245759273

  Corporate Director

  CMS ownership
• Central Counties Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, IL
  • NPI 1346791167

  Corporate Director

  CMS ownership
• Central Counties Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, IL
  • NPI 1861480709

  Corporate Director

  CMS ownership

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.

• JMJ Dental, Inc

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1235276536
  NPD (past) Authorized official
• Central Counties Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, IL
  • NPI 1861911893
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1770735896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WEST LAUREL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043926",
            "telephone_number": "217-544-4411",
            "fax_number": "217-544-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WEST LAUREL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043926",
            "telephone_number": "217-544-4411",
            "fax_number": "217-544-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-022320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiarra Green
• Rebecca A Green, NP-C
• Rebecca P Green, MD
• Jourdan Greene, APRN, FNP-C
• Morgan Greene, LMSW
• Andrea J Greenwood, APRN
• Chase Matthew Greer
• William Edward Greer IV, PA-C
• Gregory A. Gregg, M.D.
• Nathaniel Gregoire

• Dentist in Springfield, IL
• Providers in Springfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.