Stephen Everett Greenleaf III, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5075 Issued in AL

Practice address

801 University Blvd S
Ste B
Mobile, AL 36609-2923

Phone

(251) 343-2170

Fax

(251) 343-0835

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Practice roles

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

• South Alabama Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Mobile, AL
  • NPI 1437289303
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871623736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 UNIVERSITY BLVD S",
            "address_2": "STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092923",
            "telephone_number": "251-343-2170",
            "fax_number": "251-343-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 UNIVERSITY BLVD S",
            "address_2": "STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092923",
            "telephone_number": "251-343-2170",
            "fax_number": "251-343-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEAF",
        "first_name": "STEPHEN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Green, RD
• Lauren Kasey Green
• Tami Tate Green, CRNP, CDE
• Jacquelyn Greene
• Shelley B Greene
• Narcessa Gail- Rosales Greenwood, RN
• Jeffrey P Greep, HS
• Greer and Vega Medical LLC
• Greer and Vega Medical LLC
• Ashley Greer, PA-C

• Pediatric Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.