Active NPI
Ralph M. Green DMD, PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
National Provider Identifier
1922586338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
- NPI 1154862597
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
- NPI 1154731156
Oral and Maxillofacial Surgery
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.