Andrew William Greenberg, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4643 Issued in SC

Practice address

3 Gamecock Ave
Suite 302
Charleston, SC 29407-3378

Phone

(843) 556-4798

NPI assigned

Jul 16, 2009

Last updated

Feb 1, 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.

• Mouth Carolina Dentistry, PA

  • General Practice Dentistry
  • Charleston, SC
  • NPI 1740568765
  NPD (past) Authorized official

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1891925434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GAMECOCK AVE",
            "address_2": "SUITE 302",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073378",
            "telephone_number": "843-556-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GAMECOCK AVE",
            "address_2": "SUITE 302",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073378",
            "telephone_number": "843-556-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Emma Green
• Stephanie J Green
• Tashia E Green
• Virgina Sellars Green, M.S., CCC-SLP
• Virginia Green, LISW-CP
• Caitlin Greenberg
• Charles Greenberg
• Hannah Simpson Greenberg
• William Thomas Greenberg, MD
• Netta Greenblatt

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.