Kenneth E. Grossman, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5170 Issued in FL

Practice address

7800 Red Rd Ste 116
South Miami, FL 33143-5543

Phone

(305) 666-2828

Fax

(305) 666-2935

NPI assigned

Jan 30, 2012

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1053683573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 RED RD STE 116",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435543",
            "telephone_number": "305-666-2828",
            "fax_number": "305-666-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 RED RD STE 116",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435543",
            "telephone_number": "305-666-2828",
            "fax_number": "305-666-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "KENNETH",
        "middle_name": "E.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Griffin
• Elena Grillo, APRN
• Michael Grillo, M.D
• Diana Grisales
• Danielle J Gross, OTR/L
• Heidi Gruber
• Paul L Guadagno, D.C.
• Sarybelle Guadalupe Hernandez, MD
• Jesus Enrique Guarecuco Castillo, MD
• Fabiola Maria Guasp, MD

• Endodontics in South Miami, FL
• Providers in South Miami, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.