Individual provider Active NPI

David Jerry Greer, DDS

  • General Practice Dentistry
  • Ft Worth, TX
National Provider Identifier
1982929584
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21489 Issued in TX
Practice address
4760 Barwick Dr Ste B
Ft Worth, TX 76132-1529
Phone
(817) 292-2555
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21489 TX Primary

Addresses

Primary practice location

4760 Barwick Dr Ste B
Ft Worth, TX 76132-1529

Mailing address

4760 Barwick Dr Ste B
Ft Worth, TX 76132-1529
Phone (817) 292-2555

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

LicenseStateTypeSpecialty
21489TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amos Ross DDS Inc General Practice Past Accepting new patients
Alex Cammack DDS, PLLC General Practice PastSince Oct 29, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1982929584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BARWICK DR STE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761321529",
            "telephone_number": "817-292-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BARWICK DR STE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761321529",
            "telephone_number": "817-292-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "DAVID",
        "middle_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.