James R. Green D.D.S,PA

Primary specialty

DentistTaxonomy code 122300000X

License

TX16192 Issued in TX

Legal business name

JAMES R. GREEN D.D.S,PA

Practice address

2200 Kell Blvd
Wichita Falls, TX 76309-4401

Phone

(940) 322-2252

Fax

(940) 322-7090

NPI assigned

Jul 29, 2014

Last updated

Aug 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James R Green, DDSNPI 1316066723

Title

Owner

Phone

(940) 322-2252

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Royce Green, D.D.S., P.A.

  • Dentist
  • Wichita Falls, TX
  • NPI 1316066723
  Authorized official Same address or phone

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1972911444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094401",
            "telephone_number": "940-322-2252",
            "fax_number": "940-322-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094401",
            "telephone_number": "940-322-2252",
            "fax_number": "940-322-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. GREEN D.D.S,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-322-2252",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX10742",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX16192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime C. Lim MD PLLC
• Jaime Lim MD PA
• Palashkumar Shaileshkumar Jaiswal, MD
• Radhika Jaiswal
• Maddison A Jalowy
• Alysha James
• Debbie Ann James, LVN
• John James, MD
• Noel James
• Robert H James, MED. LPC

• Dentist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.