DR. BRYAN EVERETT GREEN (NPI# 1215154687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215154687 |
Entity Type | Individual |
Full Name | DR. BRYAN EVERETT GREEN |
Credential | D.M.D. |
Practice Address |
431 Bellport Dr Boiling Springs SC 29316-5389 |
Practice Telephone | 8648142567 |
Practice Fax Number | 8648142568 |
Mailing Telephone | 8648142567 |
Mailing Fax Number | 8648142568 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2011-05-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0300X |
Dentist Specialization: Periodontics |
3704 | SC | Dental Providers |
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3704 | SC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194925115 | Bryan Lynn Green | Physical Therapist | 231 34th Ave Sw, Norman, OK 73072-4843 | 2007-07-18 |
1750311221 | Bryan S Green | Physician Assistant | 67 W Railroad St, Shellman, GA 39886-3100 | 2006-07-03 |
1295791366 | Bryan Robert Green | Family Medicine | 5210 N Belt Hwy, Saint Joseph, MO 64506-1211 | 2006-04-26 |
1528695905 | Bryan M Green | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-03-25 |
1104115583 | Bryan Thomas Green | Physical Therapist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2011-04-06 |
1538333653 | Bryan L Green | Internal Medicine | 30 Davis Ave, White Plains, NY 10605-1041 | 2008-04-18 |
1528118494 | Bryan Green | Hearing Instrument Specialist | 1000 Delbon Ave Ste 7, Turlock, CA 95382-2008 | 2007-01-11 |
1861485963 | Bryan T Green | Internal Medicine | 103 Liner Dr, Greenwood, SC 29646-2311 | 2005-08-24 |
Street Address |
431 BELLPORT DR |
City | BOILING SPRINGS |
State | SC |
Zip Code | 29316-5389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891254579 | Boiling Springs First Baptist Church Counseling Service | Marriage & Family Therapist | 3600 Boiling Springs Rd, Boiling Springs, SC 29316 | 2019-03-13 |
1942675566 | Anitra Williams Mims | Social Worker | 186 John Dodd Rd, Boiling Springs, SC 29316 | 2015-12-08 |
1407222532 | Felisha Booker | Nurse Practitioner | 1214 Turning Leaf Cir, Boiling Springs, SC 29316 | 2015-08-12 |
1699157669 | Zarmina Hussain | Dentist | 1860 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-06-25 |
1700272424 | Family Builders Counseling Services | Community/Behavioral Health | 1965 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-04-09 |
1538504311 | District 2 Schools Spartanburg County | Registered Nurse | 4606 Parris Brigde Rd, Boiling Springs, SC 29316 | 2013-05-07 |
1639441769 | Daniel Earl Kimbrell | Physical Therapy Assistant | 395 Castleton Cir, Boiling Springs, SC 29316 | 2012-02-06 |
1427283084 | Bernard Walvin Kaseman | Chiropractor | 1523 Boiling Springs Rd, Boiling Springs, SC 29316 | 2009-05-26 |
1730320482 | Elliott Michael Keller | Optometrist | 8674 Asheville Highway, Boiling Springs, SC 29316 | 2009-03-10 |
1003063447 | Marion Virginia Brannon | Chiropractor | 2137 Boiling Springs Rd., Boiling Springs, SC 29316 | 2008-08-27 |
Find all providers in zip 29316 |
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 |
---|---|---|---|---|
1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
1518570902 | Foster Orthodontics, Pa | Dentist | 100 Hamlet Cir, Goose Creek, SC 29445-7111 | 2020-08-26 |
1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
1629602065 | Keith William Street | Dentist | 1460 John B White Sr Blvd Ste 1-5, Spartanburg, SC 29306-3996 | 2020-02-25 |
1225678931 | Rekha Wadhwa | Dentist | 100 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2020-01-10 |
1952965345 | Align America Sc, LLC | Dentist | 259 Textile Way Ste 103, Fort Mill, SC 29715-4550 | 2019-05-01 |
1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
1548759244 | Smile Doctors of South Carolina, P.C. | Dentist | 105 Ben Casey Dr Ste 109, Fort Mill, SC 29708-8557 | 2018-05-08 |
1386158541 | Katherine Dean Solomon | Dentist | 102 Buckwalter Pkwy Ste 3j, Bluffton, SC 29910-4130 | 2017-11-27 |
Find all providers with the same taxonomy |
City | BOILING SPRINGS |
Zip Code | 29316 |
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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.