Organization Active NPI

Greene & Westermeyer PC

  • Dentist
  • Gresham, OR
National Provider Identifier
1821256827
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8789 Issued in OR
Legal business name
GREENE & WESTERMEYER PC
Practice address
4255 SE 182ND Ave
Gresham, OR 97030
Phone
(503) 666-2515
Fax
(503) 618-9254
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Lisa Marguerite Greene, DDS
Title
Dentist
Phone
(503) 666-2515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D8789 OR Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D8881 OR

Addresses

Primary practice location

4255 SE 182ND Ave
Gresham, OR 97030

Mailing address

4255 SE 182ND Ave
Gresham, OR 97030
Phone (503) 666-2515

National Provider Directory

National Provider Directory

Locations

4255 SE 182nd Ave
Gresham, OR 97030
Phone (503) 666-2515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1821256827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-666-2515",
            "fax_number": "503-618-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-666-2515",
            "fax_number": "503-618-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE & WESTERMEYER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARGUERITE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-666-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8789",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.