DR. RYAN Q. GREEN (NPI# 1295916450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295916450 |
Entity Type | Individual |
Full Name | DR. RYAN Q. GREEN |
Credential | DDS, MD |
Practice Address |
1904 Pine St Suite 1-d Abilene TX 79601-2449 |
Practice Telephone | 3252328939 |
Practice Fax Number | 3252328943 |
Mailing Telephone | 3252328939 |
Mailing Fax Number | 3252328943 |
Enumeration Date | 2007-11-16 |
Last Update Date | 2012-11-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
24237 | TX | Dental Providers |
N | 174400000X | Specialist | N4439 | TX | Other Service Providers |
N | 208600000X | Surgery | N4439 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 2119414-01 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417422635 | Ryan Green | Physical Medicine & Rehabilitation | 9108 Pa-198, Conneautville, PA 16406 | 2018-10-04 |
1508262395 | Ryan Mark Green | Specialist/Technologist | 2021 Claiborne St, Mandeville, LA 70448-5804 | 2014-11-06 |
1831515204 | Ryan Green | Counselor | 212 Skillman St, Apt 2, Brooklyn, NY 11205-4511 | 2014-03-10 |
1568010692 | Ryan Thomas Green | Specialist/Technologist | 1633 Cottonwood St, Abilene, TX 79601-3033 | 2019-09-02 |
1417458985 | Ryan Eric Green | Physical Therapist | 711 W 40th St Ste 352, Baltimore, MD 21211-2100 | 2018-02-21 |
1750748208 | Ryan Green | Behavioral Analyst | 11415 Ne 128th St, Suite 10, Kirkland, WA 98034-6314 | 2016-01-27 |
1942674858 | Ryan Green | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2015-11-17 |
1275900870 | Ryan Green | Physical Therapy Assistant | 2916 Habana Way, Tampa, FL 33614-7108 | 2015-08-31 |
1447661533 | Ryan James Green | Emergency Medicine | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2014-05-12 |
1174886667 | Ryan Green | Clinical Neuropsychologist | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2012-06-19 |
Street Address |
1904 PINE ST SUITE 1-D |
City | ABILENE |
State | TX |
Zip Code | 79601-2449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114922713 | Bopanna Muckatira | Internal Medicine | 1904 Pine St, Ste 1 E, Abilene, TX 79601-2449 | 2005-06-20 |
1023342532 | Abilene Kidney Clinic, P.a. | Internal Medicine | 1904 Pine St, Suite 4b, Abilene, TX 79601-2449 | 2009-09-30 |
1922250059 | Bopanna Muckatira Md, Pa | Internal Medicine | 1904 Pine St, 1 E, Abilene, TX 79601-2449 | 2008-10-21 |
1720277437 | West Texas Lung Clinic Pa | Internal Medicine | 1904 Pine St, Ste. 4c, Abilene, TX 79601-2449 | 2007-10-18 |
1396961322 | Hendrick Provider Network | Family Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2344 | 2007-04-18 |
1649397977 | Theodore C. Dyer, M.d., P.a. | Otolaryngology | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2007-03-23 |
1790864528 | Robert L Striegler | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-11-03 |
1730275041 | George Toby Williams | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-10-05 |
1508874918 | Neelima Ryali | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-08-03 |
1134155005 | Min Gao | Specialist | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-06-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
Find all providers in zip 79601 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336293091 | Charles R Bloomer | Dentist | 5200 Buffalo Gap Rd Ste B, Abilene, TX 79606-4151 | 2007-01-22 |
1316360373 | Abilen Oral and Maxillofacial Surgery Associates Pllc | Dentist | 4 Hospital Dr, Abilene, TX 79606-5289 | 2014-01-28 |
1215266093 | Abilene Smilecrafters, Pllc | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2009-12-08 |
1669543500 | James Allen Neece | Dentist | 2225 S Danville Dr, Suite 4, Abilene, TX 79605-4779 | 2006-11-13 |
1245258300 | Joe Lynn Kethley Jr. | Dentist | 950 N 19th St, Suite 200, Abilene, TX 79601-2494 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
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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.