Active NPI
Daniel J Gross, M.D.
- General Practice Physician
- Omaha, NE
National Provider Identifier
1013283431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 29103
- Practice address
- 1501 Jackson St Ste 100
Omaha, NE 68102-3146 - Phone
- (402) 999-2329
- Fax
- (402) 915-0095
- NPI assigned
- Mar 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 29103 | NE | Primary |
Addresses
Primary practice location
1501 Jackson St Ste 100
Omaha, NE 68102-3146
Mailing address
1501 Jackson St Ste 100
Omaha, NE 68102-3146
Phone (402) 999-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29103 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Gross PC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1013283431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 JACKSON ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681023146",
"telephone_number": "402-999-2329",
"fax_number": "402-915-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 JACKSON ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681023146",
"telephone_number": "402-999-2329",
"fax_number": "402-915-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "NE",
"license": "29103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.