NPI 1902889900 · live from the CMS NPI Registry
Kenneth Robert Greenbaum, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Salem, OR. National Provider Identifier 1902889900, active.
NPI record
| NPI | 1902889900 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2450 Lancaster Dr Ne, Suite 200, Salem, OR 97305 |
| Practice phone | 503-362-9548 |
| Mailing address | 34 Northview Ct, Lake Oswego, OR 97035 |
| Enumerated | November 22, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 4701 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.