Kalleb a. Greene Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9989 Issued in KY

Legal business name

KALLEB A. GREENE FAMILY DENTISTRY

Practice address

318 Cool Water CT Ste a
Hopkinsville, KY 42240-8781

Phone

(270) 885-6137

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kalleb Anderson Greene, DMDNPI 1922524503

Title

Owner/Dentist

Phone

(270) 885-6137

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Kalleb Anderson Greene, DMD

  • General Practice Dentistry
  • Hopkinsville, KY
  • NPI 1922524503
  NPD Authorized official
• Dovard Thomas Porter Jr., DMD

  • General Practice Dentistry
  • Hopkinsville, KY
  • NPI 1942420518
  NPD (past)
• James Morris Standard Jr., DMD

  • Dentist
  • Elkton, KY
  • NPI 1407916620
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1972024115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 NOEL AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401386",
            "telephone_number": "270-885-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 COOL WATER CT STE A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408781",
            "telephone_number": "270-885-6137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 S Main St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "KY",
            "postal_code": "422208808",
            "country_code": "US",
            "telephone_number": "270-265-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALLEB A. GREENE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KALLEB",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "270-885-6137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kadetz MD
• Tawanda Joyner
• Justin Juckett
• Judy Greene Dba Greene Physical Therapy Services
• Lauren Bailey Kain
• Chloe Oakley Kaufman, PMHNP
• Mitchell D Kaye, MD
• KC Clinical Services
• Whitney P Keene
• Jack Kelley

• General Practice Dentistry in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.