DR. SHANNON DALE GREEN DMD
NPI 1205914595
Dentist - General Practice in Cullman, AL

Active since November 02, 2006PECOS Enrolled
322 GRAHAM ST SW, CULLMAN, AL 35055(256) 734-1656(256) 734-1659 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shannon Dale Green Dmd NPPES

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

DR. SHANNON DALE GREEN DMD (NPI 1205914595) is an individual general practice provider in Cullman, Alabama, licensed in Alabama (4785) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205914595
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANNON DALE GREENCredential: DMD
Location Address322 GRAHAM ST SWCullman, AL 35055-5238
Mailing Address322 Graham St SwCullman, AL 35055-5238 · (256) 734-1656 · Fax (256) 734-1659
Fax(256) 734-1659
Sole ProprietorYes
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205914595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AL · 4785
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.
322 GRAHAM ST SW, Cullman, AL 35055

Accepted Insurance

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. Shannon Dale Green Dmd 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 35055 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 2

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

Dentist
322 GRAHAM ST SW
CULLMAN, AL 35055
Dentist (General Practice)
322 GRAHAM ST SW
CULLMAN, AL 35055

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 Shannon Green's NPI number?

The NPI number for Shannon Green is 1205914595. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Shannon Green located?

Shannon Green practices at 322 Graham St SW, Cullman, AL 35055. The listed phone number is (256) 734-1656.

What is Shannon Green's specialty?

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

Is Shannon Green enrolled in Medicare?

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

What insurance does Shannon Green accept?

Health plans from Blue Cross and Blue Shield of Alabama list Shannon Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon 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.