PETER GERARD GREEN (NPI# 1902003940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902003940 |
| Entity Type | Individual |
| Full Name | PETER GERARD GREEN |
| Credential | DDS |
| Practice Address |
2500 N Rose St Flagstaff AZ 86004-3659 |
| Mailing Address |
Po Box 3630 Flagstaff AZ 86003-3630 |
| Practice Telephone | 9282136151 |
| Practice Fax Number | 9287730629 |
| Mailing Telephone | 9282136121 |
| Mailing Fax Number | 9282136136 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7215 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LICENSE NO | DEN02602 | 01 |
| 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 |
| 1619105194 | Peter B Green | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2009-06-23 |
| 1487811402 | Peter M Green | Pharmacist | 42 Broad St W, Mount Vernon, NY 10552-2102 | 2008-05-19 |
| 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 |
2500 N ROSE ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189451 | Thomas T Barnes | Dentist | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2006-01-26 |
| 1225229107 | Judith Bunnell Sellers | Nurse Practitioner | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2007-08-06 |
| 1871621284 | Christy Lee Pacheco | Nurse Practitioner | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2007-02-28 |
| 1336292598 | Kimberly Williams-barnes | Dentist | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2007-01-19 |
| 1932252251 | Sharon A Grasso | Dietitian, Registered | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2007-01-19 |
| 1497783690 | Yari Valle | Pharmacist | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2006-06-28 |
| 1174591887 | Ian Mark Patience | Family Medicine | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2006-03-09 |
| 1225006976 | Edith Welty | Family Medicine | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| 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 |
|---|---|---|---|---|
| 1497104293 | Matthew Golden Hill | Dentist | 304 S Regent St Ste 101, Flagstaff, AZ 86001-5961 | 2016-06-13 |
| 1194031336 | Debonair Ink | Dentist | 1415 N Beaver St, Flagstaff, AZ 86001-1401 | 2010-08-25 |
| 1447480843 | Leslie Scott Seaman | Dentist | 901 N Beaver St, Flagstaff, AZ 86001-3107 | 2009-07-20 |
| 1639353337 | C Sid Davis Dds PC | Dentist | 2700 N Izabel St, Flagstaff, AZ 86004-3420 | 2007-12-18 |
| 1346450236 | James P Marzolf | Dentist | 1417 N Beaver St, Flagstaff, AZ 86001-1401 | 2007-05-22 |
| 1962578666 | Gary Dennis Milton | Dentist | 710 N Beaver St Bldg 2 1, Flagstaff, AZ 86001-3144 | 2006-11-27 |
| 1265505226 | Bryan J Shanahan | Dentist | 750 N Kendrick St Ste 100, Flagstaff, AZ 86001-3067 | 2006-11-16 |
| 1205907623 | John Thomas Montfort | Dentist | 1425 N Beaver St, Flagstaff, AZ 86001-1401 | 2006-11-10 |
| 1346310034 | Jason Dittberner | Dentist | 750 N Kendrick St Ste 200, Flagstaff, AZ 86001-1599 | 2006-11-09 |
| 1528167681 | Paul David Whitney | Dentist | 5200 E Cortland Blvd, Suite C-4, Flagstaff, AZ 86004 | 2006-09-22 |
| Find all providers in FLAGSTAFF | ||||
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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.