Organization Active NPI

Ronald E. Green, DDS. Inc.

  • General Practice Dentistry
  • Twentynine Palms, CA
National Provider Identifier
1841484953
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RONALD E. GREEN, DDS. INC.
Practice address
72724 29 Palms Hwy Ste 102
Twentynine Palms, CA 92277-2459
Phone
(760) 367-6755
Fax
(760) 367-5016
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Ronald E. Green, DDS
Title
Owner
Phone
(760) 367-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

72724 29 Palms Hwy Ste 102
Twentynine Palms, CA 92277-2459

Mailing address

72724 29 Palms Hwy Ste 102
Twentynine Palms, CA 92277-2459
Phone (760) 367-6755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1841484953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72724 29 PALMS HWY STE 102",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772459",
            "telephone_number": "760-367-6755",
            "fax_number": "760-367-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72724 29 PALMS HWY STE 102",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772459",
            "telephone_number": "760-367-6755",
            "fax_number": "760-367-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E. GREEN, DDS. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-367-6755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.