Active NPI
Ashley M Greco, DMD
- General Practice Dentistry
- Greenwood, MS
National Provider Identifier
1962994814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3994-18
- Practice address
- 910 Medallion Dr
Greenwood, MS 38930-2118 - Phone
- (662) 455-9149
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3994-18 | MS | Primary |
Addresses
Primary practice location
910 Medallion Dr
Greenwood, MS 38930-2118
Mailing address
1313 W Highway 8
Cleveland, MS 38732-2240
Phone (662) 588-8257
Other practice location 1
1313 W Highway 8
Cleveland, MS 38732-2240
Phone (662) 843-8353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3994-18 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental LLC | Past | Accepting new patients | |
| Lifetime Dental PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Greenwood, MS
- NPI 1679024442
-
- General Practice Dentistry
- Cleveland, MS
- NPI 1053573725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1962994814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 W HIGHWAY 8",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322240",
"telephone_number": "662-588-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 MEDALLION DR",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302118",
"telephone_number": "662-455-9149"
}
],
"practiceLocations": [
{
"address_1": "1313 W Highway 8",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "MS",
"postal_code": "387322240",
"country_code": "US",
"telephone_number": "662-843-8353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRECO",
"first_name": "ASHLEY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3994-18",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.