Shelby Marie Green, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17635 Issued in TX

Practice address

6102 82ND St
Suite 1
Lubbock, TX 79424-0802

Phone

(806) 799-8160

Fax

(806) 799-7826

NPI assigned

Oct 2, 2006

Last updated

Mar 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Dental Health Associates of Texas, PC

  dba Green Family Dentistry

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1730664798
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1952494858",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "6102 82ND ST.",
            "address_2": "SUITE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-799-8160",
            "fax_number": "806-799-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 82ND ST",
            "address_2": "SUITE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240802",
            "telephone_number": "806-799-8160",
            "fax_number": "806-799-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHELBY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Green
• Latia Chanell Green, M.ED, LPC, LCDC
• Leigh Green
• Megan B Green, PA
• Michael Deshone Green Sr.
• Trisha Kay Green
• William Green, DC
• Heather Lauren Greene
• Joseph Wolf Greene, MD
• Lauren M Greenfield, P.A.-C

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.