Active NPI
Douglas M Grosmark DMD Incorporated
- Dentist
- San Diego, CA
National Provider Identifier
1043639230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DOUGLAS M GROSMARK DMD INCORPORATED
- Practice address
- 6398 Del Cerro Blvd Ste 1
San Diego, CA 92120-4760 - Phone
- (619) 286-1181
- Fax
- (619) 286-1438
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaine Lopez
- Title
- Office Administrator
- Phone
- (619) 286-1181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | CA | Primary |
Addresses
Primary practice location
6398 Del Cerro Blvd Ste 1
San Diego, CA 92120-4760
Mailing address
6398 Del Cerro Blvd Ste 1
San Diego, CA 92120-4760
Phone (619) 286-1181
National Provider Directory
National Provider DirectoryLocations
6398 Del Cerro Blvd
Ste 1
San Diego, CA 92120
Phone (619) 286-1181
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- San Diego, CA
- NPI 1346768231
-
- Dentist
- San Diego, CA
- NPI 1730238940
-
- Dentist
- San Diego, CA
- NPI 1083504989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397520000000",
"number": "1043639230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6398 DEL CERRO BLVD STE 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204760",
"telephone_number": "619-286-1181",
"fax_number": "619-286-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6398 DEL CERRO BLVD STE 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204760",
"telephone_number": "619-286-1181",
"fax_number": "619-286-1438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS M GROSMARK DMD INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "619-286-1181"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Floyd Arthur Doughty, M.D.
- Marley Doughty
- Douglas Baker Marriage and Family Therapy, Inc.
- Douglas Crowley MD, Inc
- Douglas Dobecki, Medical Doctor, Incorporated (San Diego Pain Institute)
- Douglas M Keel DO Inc (Pacific Dermatology & Cosmetic Laser Center)
- Dana Douglas-Hiley, M.S.,CCC
- April Angela Douglas, DPT
- Brooklyn Helene Douglas
- Grace Douglas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.