Travis Green, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8620 Issued in KY

Practice address

1101 Veterans Drive (160-CDD)
VA Medical Center
Lexington, KY 40502

Phone

(859) 281-4912

Fax

(859) 381-5911

NPI assigned

Mar 2, 2009

Last updated

Jul 16, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1922248095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SHORESIDE DR",
            "address_2": "APT. 14106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156442",
            "telephone_number": "859-421-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VETERANS DRIVE (160-CDD)",
            "address_2": "VA MEDICAL CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-281-4912",
            "fax_number": "859-381-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimmerle T Green, BCBA
• Marrisha Jenae Green, LPCA
• Nathan Sosaia Green, DMD
• Sandra D. Green, M.D.
• Sharon Middleton Green, LCSW
• Richard Neil Greenberg, MD
• David Lloyd Greenburg, M.D.
• Greene Respiratory Services, Inc
• Andrew Todd Greene, DO
• Colleen Davis Greene, DMD

• General Practice Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.