Individual provider Active NPI

Gregg V Monterosso, DMD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1053435487
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010199 Issued in AZ
Practice address
7227 N Dreamy Draw Dr Ste 4
Phoenix, AZ 85020-5278
Phone
(917) 549-7248
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D010199 AZ Primary

Addresses

Primary practice location

7227 N Dreamy Draw Dr Ste 4
Phoenix, AZ 85020-5278

Mailing address

7227 N Dreamy Draw Dr Ste 4
Phoenix, AZ 85020-5278
Phone (917) 549-7248

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D010199AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
LLM Dental Associates, PC General Practice Past Accepting new patients
Robert J. Price DDS, P.C. General Practice PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1053435487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 N DREAMY DRAW DR STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205278",
            "telephone_number": "917-549-7248",
            "fax_number": "212-581-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 N DREAMY DRAW DR STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205278",
            "telephone_number": "917-549-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEROSSO",
        "first_name": "GREGG",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.