John Whitcomb Green, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12007024A Issued in IN

Practice address

140 N 10TH Street
Noblesville, IN 46060-2202

Phone

(317) 773-3888

Fax

(317) 773-3888

NPI assigned

Sep 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David R. Mosser, DDS, LLC

  • General Practice Dentistry
  • Noblesville, IN
  • NPI 1871847079
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952493660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N 10TH STREET",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602202",
            "telephone_number": "317-773-3888",
            "fax_number": "317-773-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 10TH STREET",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602202",
            "telephone_number": "317-773-3888",
            "fax_number": "317-773-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOHN",
        "middle_name": "WHITCOMB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007024A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DRUG LICENSE",
            "identifier": "12007024B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Jo Grant, D.C.
• Michael Gray, PHD
• Natasha Monique Gray
• Sheriann Gray
• Shurah Gray
• Tonisha Green
• Ashlee Gregory, MSW
• Angela Griesenauer, OTR
• Randall L Griffin, DDS
• Caroline Gross

• Dentist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.