Robert O Greer, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

C0722 Issued in CO

Practice address

1999 N Fitsimons Pkwy
Aurora, CO 80045-0000

Phone

(303) 577-2309

Fax

(303) 577-2302

NPI assigned

Dec 5, 2006

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

Other identifiers 1

Other names 1

• Robert O Greer Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 2, 2016 through May 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1922166362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800380327",
            "telephone_number": "303-657-2763",
            "fax_number": "303-657-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N FITSIMONS PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800450000",
            "telephone_number": "303-577-2309",
            "fax_number": "303-577-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "ROBERT",
        "middle_name": "O",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CO",
            "license": "C0722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08678138",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "GREER",
            "middle_name": "O",
            "suffix": "JR.",
            "credential": "D D S, SC D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tamika Shavon Greenwood
• Ashley Greer, M.D.
• Hunter Greer, MD
• Johnquetta Adriana Greer
• Kenneth Dylan Greer
• Brian Greffe, MD
• Heather Gregg, SLP
• Leslie Alice Gregor Hinojos
• Darren G Gregory, MD
• Michaela Gregory, MD

• All providers in Aurora, CO
• Oral and Maxillofacial Pathology Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.