Active NPI
Barry Lee Green, DMD
- Periodontics
- Newport News, VA
National Provider Identifier
1821199241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- VA4239
- Practice address
- 716 Denbigh Blvd
#C2
Newport News, VA 23608-4414 - Phone
- (757) 874-5455
- Fax
- (757) 874-5135
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | VA4239 | VA | Primary |
Addresses
Primary practice location
716 Denbigh Blvd
#C2
Newport News, VA 23608-4414
Mailing address
716 Denbigh Blvd
#C2
Newport News, VA 23608-4414
Phone (757) 874-5455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA4239 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry Lee Green DMD Ms LTD | Periodontics | Past | Accepting new patients |
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.
-
- Periodontics
- Newport News, VA
- NPI 1659488088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821199241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 DENBIGH BLVD",
"address_2": "#C2",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084414",
"telephone_number": "757-874-5455",
"fax_number": "757-874-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 DENBIGH BLVD",
"address_2": "#C2",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084414",
"telephone_number": "757-874-5455",
"fax_number": "757-874-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BARRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "VA4239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
- Meagan Elizabeth Gray, FNP-C
- Conesha Cherry Grayson, AGNP-PC
- Greater Impact Counseling Services
- Rosalind Grace-Ann Green-Rhoden, FNP-C
- Ashley Blaine Green
- Brittany Latrice Green, RESIDENT IN COUNSELI
- Lauren Sharnise Green
- Margaret Lappan Green, RDH, MS
- Marian Elizabeth Green, APRN
- Myra Dunford Green, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.