Grant Brennan Oserowsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4298 Issued in AR

Practice address

614 E Emma Ave Ste 300
Springdale, AR 72764-4469

Phone

(479) 751-7417

NPI assigned

Jul 11, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grant B Oserowsky DDS PLLC

  • Dental Clinic/Center
  • Bentonville, AR
  • NPI 1255085684
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1003392218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 S BROOKMERE ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727585097",
            "telephone_number": "417-825-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEROWSKY",
        "first_name": "GRANT",
        "middle_name": "BRENNAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Renee Ornstein, PHD
• Truphena Nyaboke Oroo
• Orthosource, Inc.
• Rachael Osborne, PLMSW
• Trisa Osborne, RN
• Amanda N Osterman, LCSW
• Tiana Ottens
• Holland M Ouren, APRN
• Outcomes Incorporated
• Alison Overton

• General Practice Dentistry in Springdale, AR
• Providers in Springdale, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.