Individual provider Active NPI

Dennis S Greene, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1780703322
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16423 Issued in TX
Practice address
1880 S Dairy Ashford Rd Ste 207-413
Houston, TX 77077-4760
Phone
(713) 347-6833
Fax
(713) 347-9844
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16423 TX Primary

Addresses

Primary practice location

1880 S Dairy Ashford Rd Ste 207-413
Houston, TX 77077-4760

Mailing address

1880 S Dairy Ashford Rd Ste 207-413
Houston, TX 77077-4760
Phone (713) 347-6833

Other practice location 1

1700 Duke Dr
Richardson, TX 75081-3010
Phone (214) 288-1170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160317000966 TX Order and Referring Only - DentistPractitioner - Dentist 0446556419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DSG Care Associates PLLC General Practice CurrentSince Jan 14, 2024 Accepting new patients

Locations

1880 S Dairy Ashford Rd
Ste 207413
Houston, TX 77077
Phone (713) 347-6388

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1780703322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 207-413",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774760",
            "telephone_number": "713-347-6833",
            "fax_number": "713-347-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 207-413",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774760",
            "telephone_number": "713-347-6833",
            "fax_number": "713-347-9844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Duke Dr",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750813010",
            "country_code": "US",
            "telephone_number": "214-288-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DENNIS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.