Joseph R Greenwood, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9645 Issued in OR

Practice address

225 W Oregon Ave
Creswell, OR 97426-9605

Phone

(541) 895-4985

Fax

(541) 895-2529

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph R. Greenwood, DMD, PC

  dba Creswell Family Dental Clinic

  • Dental Clinic/Center
  • Creswell, OR
  • NPI 1518236751
  NPD (past) Authorized official

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1841576147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON PKWY",
            "address_2": "APT# 177",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358847",
            "telephone_number": "503-675-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W OREGON AVE",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269605",
            "telephone_number": "541-895-4985",
            "fax_number": "541-895-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modesto King Andrew Esguerra Formilleza V, OTR
• Patrick E Freuen, RPH
• Rhonda Garcia Mondragon
• Andrea Marie Gifford, MSW, LCSW
• Jessica Renee Greene, RN
• Sophie Gruszka, LMT
• Scott Andrew Hamilton
• Richard Hansen, M.D.
• Jayme Harrold, ATC
• Ted Hoggard, RPH

• General Practice Dentistry in Creswell, OR
• Providers in Creswell, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.