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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Gordon Keith Green, DDS

General Practice Dentistry in Lyons, IN · enumerated 2006 · practices at Green Dental.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265450464

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Registry record

Entity type Individual (Type 1)
Name Dr. Gordon Keith Green
Credential DDS
Sex Male
Practice address Lyons, IN, 47443
Fax (812) 659-2808
Enumeration date Jul 17, 2006
Last updated in NPPES Dec 17, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 7342 (IN) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
100124690A Medicaid IN -
457474 Other IN UNITED CONCORDIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Gordon Green?
Gordon Green is registered in NPPES with the primary taxonomy of General Practice Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-17.