Organization Active NPI

Ralph M. Green DMD, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
National Provider Identifier
1922586338
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
RALPH M. GREEN DMD, PLLC
Practice address
3935 Dupont Cir Ste D
Louisville, KY 40207-4824
Phone
(502) 897-0424
Fax
(502) 897-0427
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Ralph M Green, DMD
Title
Oral Surgeon
Phone
(502) 897-0424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3935 Dupont Cir Ste D
Louisville, KY 40207-4824

Mailing address

3935 Dupont Cir Ste D
Louisville, KY 40207-4824
Phone (502) 897-0424

Other practice location 1

3809B Poplar Level Rd
Louisville, KY 40213-1429
Phone (502) 459-4273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1922586338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 DUPONT CIR STE D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074824",
            "telephone_number": "502-897-0424",
            "fax_number": "502-897-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 DUPONT CIR STE D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074824",
            "telephone_number": "502-897-0424",
            "fax_number": "502-897-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3809B Poplar Level Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402131429",
            "country_code": "US",
            "telephone_number": "502-459-4273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALPH M. GREEN DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "502-897-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.