1. Home
  2. Directory
  3. Minnesota
  4. Blaine
  5. Dentist
  6. NPI Profile

DR. DOUGLAS GREEN DDS
NPI 1972614717
Dentist - General Practice in Blaine, MN

Active since August 31, 2006PECOS Enrolled
10729 TOWN SQUARE DR NE, #150, BLAINE, MN 55449(763) 269-8650(763) 201-3377 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas Green Dds NPPES

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

DR. DOUGLAS GREEN DDS (NPI 1972614717) is an individual general practice provider in Blaine, Minnesota, licensed in Minnesota (D11370) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972614717
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOUGLAS GREENCredential: DDS
Location Address10729 TOWN SQUARE DR NE, #150Blaine, MN 55449
Mailing Address2826 Aspen Lake Dr NeBlaine, MN 55449-3100 · (612) 964-9172
Phone(763) 269-8650
Fax(763) 201-3377
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1972614717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D11370
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.
10729 TOWN SQUARE DR NE, Blaine, MN 55449
Open in Google Maps ↗

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.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. Douglas Green 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 55449 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 4

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

JUSTIN F. FUNDER
Counselor (Mental Health)
10729 TOWN SQUARE DR NE
BLAINE, MN 55449
Anoka County (763) 343-9010
MARIAH LOU HILTNER M.ED, LPCC, GC-C
Counselor (Mental Health)
10729 TOWN SQUARE DR NE
BLAINE, MN 55449
Anoka County (763) 343-9010
EVELYN ANNE WRIGHT LADC
Counselor (Addiction (Substance Use Disorder))
10729 TOWN SQUARE DR NE
BLAINE, MN 55449
Anoka County (763) 343-9010
WILLIAM LAMERS LAMFT
Marriage & Family Therapist
10729 TOWN SQUARE DR NE
BLAINE, MN 55449
Anoka County (763) 343-9010

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 Douglas Green's NPI number?

The NPI number for Douglas Green is 1972614717. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Douglas Green located?

Douglas Green practices at 10729 Town Square Dr NE #150, Blaine, MN 55449. The listed phone number is (763) 269-8650.

What is Douglas Green's specialty?

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

Is Douglas Green enrolled in Medicare?

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

What insurance does Douglas Green accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Douglas 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 Douglas Green was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.