Organization Active NPI

Neal C. Green, D.D.S.,Inc

  • General Practice Dentistry
  • Canyon Country, CA
National Provider Identifier
1912396441
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28698 Issued in CA
Legal business name
NEAL C. GREEN, D.D.S.,INC
Practice address
27141 Hidaway Ave Ste 201
Canyon Country, CA 91351-4141
Phone
(661) 251-1320
Fax
(661) 266-3464
NPI assigned
Jan 21, 2015
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Mary Meyer, RDA
Title
Office Manager
Phone
(661) 266-2890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28698 CA Primary

Addresses

Primary practice location

27141 Hidaway Ave Ste 201
Canyon Country, CA 91351-4141

Mailing address

27141 Hidaway Ave Ste 201
Canyon Country, CA 91351-4141
Phone (661) 251-1320

National Provider Directory

National Provider Directory
Tax ID family
Neal C Green DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27141 Hidaway Ave
Ste 201
Canyon Country, CA 91351
Phone (661) 251-1320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1912396441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 201",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514141",
            "telephone_number": "661-251-1320",
            "fax_number": "661-266-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 201",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514141",
            "telephone_number": "661-251-1320",
            "fax_number": "661-266-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL C. GREEN, D.D.S.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-266-2890",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.