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JACOB ALAN GREENE DMD
NPI 1407460942
Dentist - General Practice in Petersburg, WV

Active since September 02, 2020PECOS Enrolled
111 S GROVE ST STE 1, PETERSBURG, WV 26847(304) 257-2451 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2024, Sep 2, 2020 (2 updates tracked since 2020).

About Jacob Alan Greene Dmd NPPES

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

JACOB ALAN GREENE DMD (NPI 1407460942) is an individual general practice provider in Petersburg, West Virginia, licensed in West Virginia (4671) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407460942
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB ALAN GREENECredential: DMD
Location Address111 S GROVE ST STE 1Petersburg, WV 26847-1805
Mailing AddressPo Box 97Baker, WV 26801-0097 · (304) 897-5915 · Fax (304) 897-8472
Phone(304) 257-2451
Sole ProprietorNo
Enumeration DateSeptember 2, 2020
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1407460942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WV · 4671✔ Licensed in GA · DN016106
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.
111 S GROVE ST STE 1, Petersburg, WV 26847
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Secondary Practice Locations 2

Location 16214 Bradley Park DrColumbus, GA 31904-3078 · Phone (706) 322-8988 · Fax (706) 327-2907
Location 2614 W Main StManchester, GA 31816-1542 · Phone (706) 441-0405 · Fax (706) 441-0474

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Jacob Alan Greene 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 26847 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 12

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

E. A. HAWSE HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
CASSANDRA B FORD RPH
Pharmacist
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
MARK W PUFFENBERGER M.D.
Family Medicine
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
MEGAN RENEE COMBS
Social Worker
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
MRS. LOREN N CUNNINGHAM PAC
Physician Assistant (Medical)
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
ASHLEY WRATCHFORD LPC
Counselor (Mental Health)
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
MRS. TINA ALT LIONG LPC
Counselor (Professional)
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
ASHTON LOUISE HUMPHREY
Nurse Practitioner
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451

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 Jacob Greene's NPI number?

The NPI number for Jacob Greene is 1407460942. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Jacob Greene located?

Jacob Greene practices at 111 S Grove St Ste 1, Petersburg, WV 26847. The listed phone number is (304) 257-2451.

What is Jacob Greene's specialty?

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

Is Jacob Greene enrolled in Medicare?

Yes. Jacob Greene is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Greene accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Jacob Greene 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 Jacob Greene was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.