Daniel Green, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600972 Issued in MI

Practice address

412 S Lincoln Ave
Lakeview, MI 48850-5004

Phone

(989) 598-4218

NPI assigned

May 11, 2016

Last updated

Jan 12, 2022By the provider in NPPES

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

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.

• Premier Care Dentistry of Ohio LLC

  • Dentist
  • Toledo, OH
  • NPI 1588545933
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1972959674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488500080",
            "telephone_number": "989-598-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S LINCOLN AVE",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488505004",
            "telephone_number": "989-598-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carina Curtis, MD
• Mark Anthony N Del Castillo, MD
• Denise Joy Docter, MSW
• James Vernon Draper, DDS
• Steven Arne Fahlen, DO
• H. Keith Treiber DDS Family Dentistry PC
• H. Keith Treiber, DDS Family Dentistry P. C. (Tamarack Family Dentistry)
• Brooke Hansen, PA-C
• Sherri Dawn Hart
• Health Visions Quest, Inc. (The Healing Center)

• General Practice Dentistry in Lakeview, MI
• Providers in Lakeview, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.