DR. CHARLES J GREENEBAUM DDS
NPI 1740341973
Dentist - General Practice in Flossmoor, IL
About Dr. Charles J Greenebaum Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLES J GREENEBAUM DDS (NPI 1740341973) is an individual general practice provider in Flossmoor, Illinois and active in the NPI registry since December 2006. He has opted out of Medicare through April 14, 2028.
NPPES Registry Identity
Specialties & Licenses
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. Charles J Greenebaum Dds 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 April 14, 2014 through April 14, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charles Greenebaum's NPI number?
The NPI number for Charles Greenebaum is 1740341973. It was assigned to this individual provider in the NPPES registry on December 12, 2006.
Where is Charles Greenebaum located?
Charles Greenebaum practices at 19615 Governors Hwy, Flossmoor, IL 60422. The listed phone number is (708) 647-6453.
What is Charles Greenebaum's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Charles Greenebaum enrolled in Medicare?
No. Charles Greenebaum has opted out of Medicare through April 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Charles Greenebaum accept?
Health plans from Humana list Charles Greenebaum 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 Charles Greenebaum 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.
# Dr. Charles J Greenebaum, DDS · NPI 1740341973
General Practice provider in Flossmoor, Illinois. Individual provider, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1740341973 (Entity type: Individual)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19615 GOVERNORS HWY, Flossmoor, IL 60422-2037
- **Phone:** (708) 647-6453
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 14, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1740341973) · Data from the CMS NPPES public registry.