DR. KRISTIN DYAN GREEN D.D.S. NPI 1356579080

NPI Information

  • NPI: 1356579080
  • Provider Name: DR. KRISTIN DYAN GREEN, D.D.S.
  • Classification: Dentist - 122300000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2209 OAK RIDGE DR
    NEOSHO, MO
    ZIP 64850
  • Phone: (417) 451-0977

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NPI Details

DR. Kristin Dyan Green, D.D.S. is a dentist in Neosho, MO. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. Kristin Dyan Green, D.D.S. NPI is 1356579080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2209 OAK RIDGE DR
NEOSHO, MO
ZIP 64850-092
Phone: (417) 451-0977
Fax: (417) 451-0977

The NPI 1356579080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/1/2009 and was last updated on 10/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist2014015540MISSOURIYes
21223G0001XDentistGeneral Practice3730ARKANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1180656608MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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