Individual provider Active NPI

David Ellwood Greene, MED TECH

  • Home Health Agency
  • Silver Spring, MD
National Provider Identifier
1902226806
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2091 Issued in MD
Practice address
8607 2ND Ave
Suite 306
Silver Spring, MD 20910-3355
Phone
(301) 495-6330
Fax
(301) 495-6332
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2091 MD Primary

Addresses

Primary practice location

8607 2ND Ave
Suite 306
Silver Spring, MD 20910-3355

Mailing address

8607 2ND Ave
Suite 306
Silver Spring, MD 20910-3355
Phone (301) 495-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
R2091MDMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1902226806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 2ND AVE",
            "address_2": "SUITE 306",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103355",
            "telephone_number": "301-495-6330",
            "fax_number": "301-495-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 2ND AVE",
            "address_2": "SUITE 306",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103355",
            "telephone_number": "301-495-6330",
            "fax_number": "301-495-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DAVID",
        "middle_name": "ELLWOOD",
        "credential": "MED TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.