Individual provider Active NPI

Adriana Vargas- Green, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1821161712
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
F21691 Issued in TX
Practice address
3000 Gaston Ave Ste 404D
Dallas, TX 75226-1309
Phone
(214) 828-8499
Fax
(214) 874-4552
NPI assigned
Nov 16, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X F21691 TX Primary

Addresses

Primary practice location

3000 Gaston Ave Ste 404D
Dallas, TX 75226-1309

Mailing address

3000 Gaston Ave Ste 404D
Dallas, TX 75226-1309
Phone (214) 828-8499

Other identifiers 1

IdentifierTypeStateIssuer
88D813OtherBLUE CROSS BLUE SHIELD

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
I20240710004978 TX Order and Referring Only - DentistPractitioner - Dentist 0446227110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F21691TXMDDentist

Interoperability endpoints

  • Direct secure messaging: agreen60960@direct.utmsa.com

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1821161712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GASTON AVE STE 404D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261309",
            "telephone_number": "214-828-8499",
            "fax_number": "214-874-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GASTON AVE STE 404D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261309",
            "telephone_number": "214-828-8499",
            "fax_number": "214-874-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS- GREEN",
        "first_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "F21691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88D813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.