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DR. KRISTIN DYAN GREEN D.D.S.
NPI 1356579080
Dentist in Neosho, MO

Active since July 01, 2009PECOS Enrolled
2209 OAK RIDGE DR, NEOSHO, MO 64850(417) 451-0977(417) 451-0977 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kristin Dyan Green D.d.s. NPPES

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

DR. KRISTIN DYAN GREEN D.D.S. (NPI 1356579080) is an individual dentist in Neosho, Missouri, licensed in Missouri (2014015540) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356579080
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KRISTIN DYAN GREENCredential: D.D.S.
Location Address2209 OAK RIDGE DRNeosho, MO 64850-9092
Mailing AddressPo Box 758Neosho, MO 64850-0758 · (417) 451-9450 · Fax (417) 451-8903
Phone(417) 451-0977
Fax(417) 451-0977
Sole ProprietorNo
Enumeration DateJuly 1, 2009
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1356579080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2014015540
Definition
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 3730 (AR)
2209 OAK RIDGE DR, Neosho, MO 64850
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Other Identifiers 1

Medicaid180656608AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. Kristin Dyan Green D.d.s. 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 64850 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Clinic/Center (Federally Qualified Health Center (FQHC))
2209 OAK RIDGE DR
NEOSHO, MO 64850
Newton County (417) 451-0977
KATHRYN J HOUSH RDH
Dental Hygienist
2209 OAK RIDGE DR
NEOSHO, MO 64850
Newton County (417) 451-0977
ANDREW MICHAEL BYRNE DDS
Dentist (General Practice)
2209 OAK RIDGE DR
NEOSHO, MO 64850
Newton County (417) 451-0977

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 Kristin Green's NPI number?

The NPI number for Kristin Green is 1356579080. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Kristin Green located?

Kristin Green practices at 2209 Oak Ridge Dr, Neosho, MO 64850. The listed phone number is (417) 451-0977.

What is Kristin Green's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kristin Green enrolled in Medicare?

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

What insurance does Kristin Green accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 16 other insurers list Kristin 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 Kristin Green was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.