Samuel J. Greenstein, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9323 Issued in OR

Practice address

16155 NW Cornell Rd
Ste 450
Beaverton, OR 97006-4810

Phone

(503) 629-5300

Fax

(503) 690-9452

NPI assigned

Aug 6, 2009

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1891926929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325SWHORIZON BLVD 229",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079475",
            "telephone_number": "971-205-5822",
            "fax_number": "503-590-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16155 NW CORNELL RD",
            "address_2": "STE 450",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064810",
            "telephone_number": "503-629-5300",
            "fax_number": "503-690-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSTEIN",
        "first_name": "SAMUEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Mountain Mental Health
• Abrianna Green
• Christopher G Green, AMFT
• Philip P Green, D.M.D.
• Vanessa Rae Greene, MASSAGE THERAPIST
• Greenway Chiropractic Clinic
• Aiden Thomas Gregg
• Candace Lynn Gregory, DPM
• Jonathan Ray Gregory
• Molly Gregory

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, 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 Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.