DR. RAYMOND ALLAN GREEN DDS
NPI 1104934751
Dentist - General Practice in South Boston, VA

Q: What is Raymond Green's NPI number?

The NPI number for Raymond Green is 1104934751. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Raymond Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2006PECOS Enrolled

410 MINERAL ST, SOUTH BOSTON, VA 24592(434) 572-4928 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Raymond Allan Green Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAYMOND ALLAN GREEN DDS (NPI 1104934751) is an individual general practice provider in South Boston, Virginia, licensed in Virginia (0401005893) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104934751

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RAYMOND ALLAN GREENCredential: DDS

Location Address410 MINERAL STSouth Boston, VA 24592

Mailing AddressPo Box 269South Boston, VA 24592 · (434) 572-4928

Phone(434) 572-4928

Sole ProprietorNo

Enumeration DateAugust 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104934751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401005893

Definition

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.

410 MINERAL ST, South Boston, VA 24592

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raymond Allan Green Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KWANG W KIM, DDS, PLLC

Dentist (General Practice)

410 MINERAL ST
SOUTH BOSTON, VA 24592

Halifax County (434) 572-4928

MINKYEONG SON DDS

Dentist (General Practice)

410 MINERAL ST
SOUTH BOSTON, VA 24592

Halifax County (434) 572-4928

JOSHUA IRBY DDS

Dentist

410 MINERAL ST
SOUTH BOSTON, VA 24592

Halifax County (434) 572-4928

DR. KWANG W KIM DDS

Dentist (General Practice)

410 MINERAL ST
SOUTH BOSTON, VA 24592

Halifax County (434) 572-4928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Green's NPI number?

The NPI number for Raymond Green is 1104934751. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Raymond Green located?

Raymond Green practices at 410 Mineral St, South Boston, VA 24592. The listed phone number is (434) 572-4928.

What is Raymond Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Raymond Green enrolled in Medicare?

Yes. Raymond Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raymond Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.