DR. GARY A GREEN DPM
NPI 1801896816
Podiatrist in Farmington, UT

Active since August 01, 2005
670 SHEPARD LN, SUITE 102, FARMINGTON, UT 84025(801) 451-7500(801) 451-6966 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary A Green Dpm NPPES

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

DR. GARY A GREEN DPM (NPI 1801896816) is an individual podiatrist in Farmington, Utah, licensed in Utah (104878-0501) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1801896816
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. GARY A GREENCredential: DPM
Location Address670 SHEPARD LN, SUITE 102Farmington, UT 84025-3936
Mailing Address670 Shepard Ln, Suite 102Farmington, UT 84025-3936 · (801) 451-7500 · Fax (801) 451-6966
Fax(801) 451-6966
Sole ProprietorYes
Enumeration DateAugust 1, 2005
Last NPPES UpdateSeptember 20, 2007
NPI 1801896816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in UT · 104878-0501
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

670 SHEPARD LN, Farmington, UT 84025

Other Identifiers 2

Medicare UPINT39921
Medicare ID-Type Unspecified000004291

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 Gary Green's NPI number?

The NPI number for Gary Green is 1801896816. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Gary Green located?

Gary Green practices at 670 Shepard Ln Suite 102, Farmington, UT 84025. The listed phone number is (801) 451-7500.

What is Gary Green's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Gary Green was last updated on September 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.