DR. JAMES RUSSELL GREEN IV DMD
NPI 1396970653
Dentist - Oral and Maxillofacial Surgery in Tampa, FL
About Dr. James Russell Green Iv Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES RUSSELL GREEN IV DMD (NPI 1396970653) is an individual oral and maxillofacial surgery provider in Tampa, Florida, licensed in Florida (18270) and active in the NPI registry since May 2009. He has opted out of Medicare through February 11, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. James Russell Green Iv Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2025 through February 11, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33612
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 James Green's NPI number?
The NPI number for James Green is 1396970653. It was assigned to this individual provider in the NPPES registry on May 15, 2009.
Where is James Green located?
James Green practices at 1309 W Fletcher Ave, Tampa, FL 33612. The listed phone number is (813) 960-5540.
What is James Green's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is James Green enrolled in Medicare?
No. James Green has opted out of Medicare through February 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does James Green accept?
Health plans from Delta Dental, Guardian and Humana list James 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 James Green was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. James Russell Green IV, DMD · NPI 1396970653
Oral and Maxillofacial Surgery provider in Tampa, Florida. Individual provider, active in the CMS NPPES registry since May 15, 2009.
## Identity
- **NPI:** 1396970653 (Entity type: Individual)
- **Enumerated:** May 15, 2009
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 18270 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1309 W FLETCHER AVE, Tampa, FL 33612
- **Phone:** (813) 960-5540
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 11, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1396970653) · Data from the CMS NPPES public registry.