Derek Green DMD LLC
NPI 1578130175ActiveOrganization· Dentist, General Practice· Anchorage, AK
Dentist, General Practice in Anchorage, Alaska, registered in NPPES in June 2021, part of Derek Green DMD LLC. The authorized official on file is Derek Thomas Green, DMD, Owner.
Overview
| NPI | 1578130175 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Derek Green DMD LLC |
| NPI issued | Jun 10, 2021 |
| Last updated in NPPES | Jun 10, 2021 |
| Certified by provider | Jun 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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