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DR. LARRY PAUL GREEN SR. DDS
NPI 1912076985
Dentist in Madison, SD

Active since November 06, 2006PECOS Enrolled
102 N EGAN AVE, MADISON, SD 57042(605) 256-4969(605) 256-4717 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry Paul Green Sr. Dds NPPES

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

DR. LARRY PAUL GREEN SR. DDS (NPI 1912076985) is an individual dentist in Madison, South Dakota, licensed in South Dakota (M594) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912076985
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LARRY PAUL GREEN SR.Credential: DDS
Location Address102 N EGAN AVEMadison, SD 57042
Mailing AddressPo Box 243 102 N Egan AveMadison, SD 57042 · (605) 256-4969 · Fax (605) 256-4717
Phone(605) 256-4969
Fax(605) 256-4717
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1912076985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SD · M594
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.
102 N EGAN AVE, Madison, SD 57042
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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. Larry Paul Green Sr. Dds 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 57042 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 3

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

WILLIAM D BAUNE PLLC
Dentist (General Practice)
102 N EGAN AVE
MADISON, SD 57042
Lake County (605) 256-4969
EMBRACE MADISON DENTAL LLC
Dentist
102 N EGAN AVE
MADISON, SD 57042
Lake County (605) 256-4969
LARRY P. GREEN DDS INC., PC
Dentist
102 N EGAN AVE
MADISON, SD 57042
Lake County (605) 256-4969

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 Larry Green's NPI number?

The NPI number for Larry Green is 1912076985. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Larry Green located?

Larry Green practices at 102 N Egan Ave, Madison, SD 57042. The listed phone number is (605) 256-4969.

What is Larry Green's specialty?

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

Is Larry Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Larry Green was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.