Brad D Greenfield, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17774 Issued in MI

Practice address

1375 S Lapeer Rd Ste 200
Lake Orion, MI 48360-1466

Phone

(248) 693-6213

Fax

(248) 693-1368

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 1, 2016 through Jun 1, 2028

Medicare enrollment (NPD)

Not 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.

• Lake Orion Family Dentistry

  • Dentist
  • Lake Orion, MI
  • NPI 1932700986
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1811085301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 SOUTH LAPEER ROAD SUITE 200",
            "city": "LAKE ORION, MI",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-693-6213",
            "fax_number": "248-693-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S LAPEER RD STE 200",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601466",
            "telephone_number": "248-693-6213",
            "fax_number": "248-693-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "BRAD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Gomez
• Joseph Gorz, D.O
• Ryan Goulette
• Leandrea Emily Graham-Boyer
• Kelly Ling Graham
• Leah Greer
• Gregg Chiropractic Life Center North P.C.
• Kendra L Griggs
• Kendra Maureen Grow
• Kaycie Grusnick, FNP-C

• General Practice Dentistry in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.

Verify at the official NPI Registry.