Individual provider

Raymond Green, DDS

General Practice Dentistry Medicare enrolled

Raymond Green, DDS is a provider specialising in General Practice Dentistry in South Boston, VA, registered under NPI 1104934751.

Getting there

The practice address on file is 410 MINERAL ST, South Boston, VA 24592. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

410 MINERAL ST, South Boston, VA 24592 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0401005893 VA General Practice Dentistry primary

This provider holds licence 0401005893 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Oral Surgery
PAC ID
3779760004

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

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. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104934751 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 25, 2006
Last updatedJul 8, 2007
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 410 MINERAL ST
South Boston, VA 24592
(434) 572-4928
Mailing address PO BOX 269
South Boston, VA 24592
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104934751 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 3 4 7 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 3 8 7 1

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104934751?
NPI 1104934751 is the National Provider Identifier assigned to Raymond Green, DDS in South Boston, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
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.
How do I contact Raymond Green, DDS?
The phone number on file with NPPES is (434) 572-4928, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Raymond Green, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104934751 a valid number?
Yes. 1104934751 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.