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DR. GORDON KEITH GREEN DDS
NPI 1265450464
Dentist - General Practice in Lyons, IN

Active since July 17, 2006PECOS Enrolled
147 E BROAD ST, LYONS, IN 47443(812) 659-2111(812) 659-2808 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gordon Keith Green Dds NPPES

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

DR. GORDON KEITH GREEN DDS (NPI 1265450464) is an individual general practice provider in Lyons, Indiana, licensed in Indiana (7342) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265450464
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GORDON KEITH GREENCredential: DDS
Location Address147 E BROAD STLyons, IN 47443-9502
Mailing AddressP O Box 501, 147 East Broad StLyons, IN 47443-9502 · (812) 659-2111 · Fax (812) 659-2808
Phone(812) 659-2111
Fax(812) 659-2808
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 17, 2010
✔ NPI 1265450464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 7342
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.
147 E BROAD ST, Lyons, IN 47443
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Other Identifiers 2

Other457474IN · United Concordia
Medicaid100124690AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount.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. Gordon Keith 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 47443 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 3

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

DR. BROOKS ANDREW GREEN D.D.S
Dentist (General Practice)
147 E BROAD ST
LYONS, IN 47443
Greene County (812) 659-2111
GREEN DENTAL
Dentist
147 E BROAD ST
LYONS, IN 47443
Greene County (812) 659-2111
BENJAMIN COX
Dentist
147 E BROAD ST
LYONS, IN 47443
Greene County (812) 659-2111

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 Gordon Green's NPI number?

The NPI number for Gordon Green is 1265450464. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Gordon Green located?

Gordon Green practices at 147 E Broad St, Lyons, IN 47443. The listed phone number is (812) 659-2111.

What is Gordon Green's specialty?

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

Is Gordon Green enrolled in Medicare?

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

What insurance does Gordon Green accept?

Health plans from HRI Dental & Vision and Paramount list Gordon 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 Gordon Green was last updated on December 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.