PETER B GREEN (NPI# 1619105194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619105194 |
| Entity Type | Individual |
| Full Name | PETER B GREEN |
| Practice Address |
800 1st Ave Sw Austin MN 55912-2507 |
| Practice Telephone | 5074378208 |
| Practice Fax Number | 5074337348 |
| Mailing Telephone | 5074378208 |
| Mailing Fax Number | 5074337348 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9111 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043732852 | Peter Green | Dentist | 304 Copperline Dr Apt U, Chapel Hill, NC 27516-0421 | 2017-07-13 |
| 1568410512 | Peter L Green | Physical Therapist | 1713 Vaughn Rd, Burlington, NC 27217-2915 | 2006-05-04 |
| 1992347694 | Peter Green | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-10-14 |
| 1487811402 | Peter M Green | Pharmacist | 42 Broad St W, Mount Vernon, NY 10552-2102 | 2008-05-19 |
| 1902003940 | Peter Gerard Green | Dentist | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2007-07-02 |
| 1962627927 | Peter Alex Green | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-04-16 |
| 1306853205 | Peter H.r. Green | Internal Medicine | 180 Fort Washington Ave, Harkness Pavillion, Suite 956, New York, NY 10032-3735 | 2006-08-02 |
| 1174548689 | Peter Warwick Green | Orthopaedic Surgery | 554 Larkfield Rd, Ste 10g, E Northport, NY 11731 | 2006-07-13 |
| Street Address |
800 1ST AVE SW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972712321 | Drs Elrod Green Dds Pa | Dentist | 800 1st Ave Sw, Austin, MN 55912 | 2007-05-22 |
| 1609487016 | Lauren Michelle Whitehurst | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2020-08-11 |
| 1750990206 | Kathryn Lea | Dental Therapist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2020-07-29 |
| 1710596598 | Alexander Nguyen | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2020-07-28 |
| 1982153136 | Heimer Dental, Pllc | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2016-09-29 |
| 1053662965 | Swift, Elrod and Green Dds | Clinic/Center | 800 1st Ave Sw, Austin, MN 55912-2507 | 2012-10-02 |
| 1881968477 | Sleep Enhancement Center LLC | Durable Medical Equipment & Medical Supplies | 800 1st Ave Sw, Suite 111, Austin, MN 55912-2507 | 2012-02-29 |
| 1023246592 | David A Elrod | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2009-06-23 |
| 1205061793 | Kara Lea Heimer | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
| 1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
| 1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
| 1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
| 1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
| 1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
| 1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
| 1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
| 1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
| Find all providers in AUSTIN | ||||
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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.