DR. WILLIAM GREEN (NPI# 1154604023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154604023 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM GREEN |
| Credential | D.D.S |
| Practice Address |
772 S Dora St Ukiah CA 95482-5336 |
| Practice Telephone | 7074622913 |
| Practice Fax Number | 7074620350 |
| Mailing Telephone | 7074622913 |
| Mailing Fax Number | 7074620350 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
24790 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1285037184 | William Green IIi | Counselor | 3457 Joyce St, Philadelphia, PA 19134-2621 | 2014-10-06 |
| 1669892485 | William Green | Specialist/Technologist | 641 N Cliff St, Carrollton, GA 30117-2207 | 2014-04-19 |
| 1730429663 | William Ellis Green Sr. | Psychologist | 14 Nw Pleasant View Rdg, Lawton, OK 73505-9503 | 2013-03-01 |
| 1528339546 | William Henry Green | Social Worker | 30 Johnson Ave, Cranford, NJ 07016-2639 | 2012-01-23 |
| 1659542942 | William Thomas Green | Dentist | 13128 Warwick Blvd, Newport News, VA 23602 | 2008-03-14 |
| 1649496480 | William Francis Green | Counselor | 306 E 13th Ave, North Wildwood, NJ 08260-5624 | 2007-04-18 |
| 1811038219 | William Harry Green | Internal Medicine | 103 Mercury Ct, Mukwonago, WI 53149-1714 | 2007-02-09 |
| 1164572202 | William Edward Green Jr. | Chiropractor | 310 Parks Drive, Normandy, TN 37360 | 2007-01-11 |
| 1033276431 | William M Green | Psychologist | 401 1 2 Sherman, Suite 206, Coeur D Alene, ID 83814-2777 | 2007-01-03 |
| Street Address |
772 S DORA ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515774 | Andrew Irvine Corbett | Dentist | 135 Hospital Dr, Ukiah, CA 95482-4591 | 2020-10-14 |
| 1093196651 | Rael Bernstein Dds Apc | Dentist | 1252 Airport Park Blvd, Suite A-1, Ukiah, CA 95482 | 2015-06-09 |
| 1053713602 | Andrew I. Corbett, D.d.s Inc. | Dentist | 135 Hospital Dr, Ukiah, CA 95482-4591 | 2014-09-25 |
| 1154463701 | Gary R Keszler | Dentist | 135 Hospital Dr, Ukiah, CA 95482-4591 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.