Grosman Pediatric Dentistry and Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 15203 Issued in FL

Legal business name

GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS

Practice address

4401 S Flamingo Rd
Ste 109
Davie, FL 33330-1914

Phone

(954) 236-3434

Fax

(954) 236-3405

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Maria Marranzini-Grosman

Title

Owner

Phone

(954) 236-3434

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alon Grosman, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Davie, FL
  • NPI 1548392889
  NPD (past)
• Elizabeth Lenchner

  • Pediatric Dentistry
  • Davie, FL
  • NPI 1982262853
  NPD (past)
• Maria Grazia Marranzini, D.D.S.

  • Pediatric Dentistry
  • Davie, FL
  • NPI 1740354174
  NPD (past)
• Rodolfo Tejada, DDS

  • Pediatric Dentistry
  • Orange City, FL
  • NPI 1427345057
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1043681836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 S FLAMINGO RD",
            "address_2": "STE 109",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301914",
            "telephone_number": "954-236-3434",
            "fax_number": "954-236-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S FLAMINGO RD",
            "address_2": "STE 109",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301914",
            "telephone_number": "954-236-3434",
            "fax_number": "954-236-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MARRANZINI-GROSMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-236-3434"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 15203",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN20826",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "D15664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1740354174",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427345057",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1548392889",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin D Grimes
• Jannel Grindley
• Tara Grippo
• Susan M Gritz, LCSW
• Talia Michal Gritzman
• Alon Grosman, DMD
• Sivan Grossman
• Grounded Mental Health Inc
• Ryan S Grove, ATC
• Growability Group

• Pediatric Dentistry in Davie, FL
• Providers in Davie, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.