KEVIN JEFFREY GREENE (NPI# 1093102055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093102055 |
Entity Type | Individual |
Full Name | KEVIN JEFFREY GREENE |
Credential | D.D.S. |
Practice Address |
1821 Beltline Rd Sw Decatur AL 35601-5506 |
Practice Telephone | 2564327063 |
Mailing Telephone | (256) 432-7063 |
Enumeration Date | 2015-04-16 |
Last Update Date | 2017-05-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 6387 | AL | Dental Providers |
N | 122300000X | Dentist | 1001151-15 | WI | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891212361 | Kevin Greene | Hearing Instrument Specialist | 269 S Federal Hwy, Deerfield Beach, FL 33441-4161 | 2017-08-25 |
1659805695 | Kevin Greene | Behavior Technician | 1855 W Hibiscus Blvd, Melbourne, FL 32901-2622 | 2017-04-17 |
1114389111 | Kevin Robert Greene | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-03-28 |
1013293257 | Kevin Alan Greene | Technician/Technologist | 210 Cornelia St, Suite 302, Plattsburgh, NY 12901-2318 | 2011-11-02 |
1518170620 | Kevin G Greene | Pathology | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2007-05-07 |
1396843447 | Kevin Michael Greene | Pharmacist | 2 Preston St, Camden, NY 13316-1216 | 2006-09-20 |
1265476675 | Kevin Wayne Greene | Physician Assistant | 3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 | 2006-06-15 |
1730145798 | Kevin Meredith Greene | Chiropractor | 38r Enon St, Beverly, MA 01915-1166 | 2006-04-26 |
1164498473 | Kevin Patrick Greene | Internal Medicine | 710 Main St, Building 4, Plantsville, CT 06479-1565 | 2006-02-27 |
1912972993 | Kevin Troy Greene | Anesthesiology | 3400 Highway 78 E, Jasper, AL 35501-8907 | 2006-02-22 |
Street Address |
1821 BELTLINE RD SW |
City | DECATUR |
State | AL |
Zip Code | 35601-5506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861017279 | Marikit Tongo Magkalas | Dentist | 1821 Beltline Rd Sw, Decatur, AL 35601-5606 | 2020-06-11 |
1619497989 | Mitra Darice Adhami | Dentist | 1821 Beltline Rd Sw, Decatur, AL 35601 | 2017-06-27 |
1194256685 | Narissa C Ross | Dentist | 1821 Beltline Rd Sw, Decatur, AL 35601 | 2017-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
Find all providers in zip 35601 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763380 | Ah Chong | Dentist | 755 Commerce Dr Ste 513, Decatur, GA 30030-2618 | 2020-09-08 |
1891327904 | Vital Smiles Alabama II PC | Dentist | 809 Beltline Rd Sw Ste A, Decatur, AL 35601-6337 | 2020-02-06 |
1568001147 | Amanda Nkechinyere Udunka | Dentist | 3106 Robinwood Trl, Decatur, GA 30034-3553 | 2019-12-31 |
1972097459 | Ashley Marie Nowdomski | Dentist | 1353 E Mound Rd Ste 101, Decatur, IL 62526-3600 | 2018-06-19 |
1639609340 | Zi Jian Wu | Dentist | 2570 Blackmon Dr Ste 310, Decatur, GA 30033-6197 | 2017-06-14 |
1780036848 | Smiles of Decatur P.C. | Dentist | 2458 Wesley Chapel Rd Ste B, Decatur, GA 30035-3423 | 2016-07-12 |
1801225479 | Jorge Carlos Griswold | Dentist | 2680 Lawrenceville Hwy Ste 102, Decatur, GA 30033-2526 | 2013-11-04 |
1376885343 | Paul Duane Potter | Dentist | 280 W North St, Decatur, IL 62522-2222 | 2013-03-18 |
1508127135 | Kyoung Yun Lee | Dentist | 141 E Pershing Rd, Decatur, IL 62526-3213 | 2012-05-30 |
1689953960 | Jennifer Anne Dillon | Dentist | 144 S Columbia Dr, Decatur, GA 30030-4103 | 2011-08-04 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.