Tera Boyd Green, CDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

1012 W Stokes St
China Grove, NC 28023-8303

Phone

(704) 857-5325

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851437537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W STOKES ST",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280238303",
            "telephone_number": "704-857-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W STOKES ST",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280238303",
            "telephone_number": "704-857-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TERA",
        "middle_name": "BOYD",
        "name_prefix": "Ms.",
        "credential": "CDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burke Keith Fulcher
• Tracey West Gilbert, NCC, LPC
• Casey Lee Goodman, IDC
• Cress Goodnight
• Robert Nakura Buki Grant
• Tannnon Marie Guard
• Gwen Hampton
• Gwen E Hampton, APRN BC CNS
• Daniel Morris Hamrick, D.D.S.
• Hands on Our Future (CBS) Services for Youth Incorproated

• Dental Assistant in China Grove, NC
• Providers in China Grove, NC by specialty
• Dental Assistant in North Carolina

• 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.

Verify at the official NPI Registry.