DR. ELISSA BETH GREEN DMD
NPI 1740708973
Dentist in Los Angeles, CA

Q: What is Elissa Green's NPI number?

The NPI number for Elissa Green is 1740708973. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Q: What is Elissa Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elissa Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 08, 2017PECOS Enrolled

10833 LE CONTE AVE # CHSB0130, LOS ANGELES, CA 90095(310) 825-3795(310) 825-9653 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Elissa Beth Green Dmd NPPES

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

DR. ELISSA BETH GREEN DMD (NPI 1740708973) is an individual dentist in Los Angeles, California, licensed in California (101929) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740708973

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. ELISSA BETH GREENCredential: DMD

Location Address10833 LE CONTE AVE # CHSB0130Los Angeles, CA 90095-3075

Mailing Address10833 Le Conte Ave., Chs B0-130Los Angeles, CA 90095 · (310) 825-3795 · Fax (310) 825-9653

Phone(310) 825-3795

Fax(310) 825-9653

Sole ProprietorNo

Enumeration DateSeptember 8, 2017

Last NPPES UpdateJuly 21, 2022

✔ NPI 1740708973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 101929

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.

10833 LE CONTE AVE # CHSB0130, Los Angeles, CA 90095

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Elissa Beth Green 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 90095 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Elissa Green's NPI number?

The NPI number for Elissa Green is 1740708973. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Elissa Green located?

Elissa Green practices at 10833 Le Conte Ave # Chsb0130, Los Angeles, CA 90095. The listed phone number is (310) 825-3795.

What is Elissa Green's specialty?

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

Is Elissa Green enrolled in Medicare?

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

What insurance does Elissa Green accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 3 other insurers list Elissa 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 Elissa Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.