Greene Endodontics, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GREENE ENDODONTICS, LLC

Practice address

3811 Fairview Dr
Anderson, IN 46013-4059

Phone

(765) 649-1277

Fax

(765) 357-9121

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Joseph GreeneNPI 1629206461

Title

Owner

Phone

(765) 649-1277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Ryan Joseph Greene, D.D.S.

  • Endodontics
  • Anderson, IN
  • NPI 1629206461
  NPD (past) Authorized official
• Robert James Beck-Coon, DDS, MSD

  • Endodontics
  • Anderson, IN
  • NPI 1679578553
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1821562307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 FAIRVIEW DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134059",
            "telephone_number": "765-649-1277",
            "fax_number": "765-357-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 FAIRVIEW DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460134059",
            "telephone_number": "765-649-1277",
            "fax_number": "765-357-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-649-1277",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013383",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David W. Graybill, MD
• Sheryl Ann Graybill, NP
• Great Health Medical in PC
• Scott Green, MD
• Terry L. Green, LMHC
• Adam L Greene, MD
• Diane Greene, NP
• Joshua B Greene, MD
• Ryan Joseph Greene, D.D.S.
• Zacarria Greene, CNM

• Dental Clinic/Center in Anderson, IN
• Providers in Anderson, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.