Active NPI
Kateryna Grytsenko, DDS
- General Practice Dentistry
- Sarasota, FL
National Provider Identifier
1063890309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN29756
- Practice address
- 9092 Luna LN
Sarasota, FL 34241-3700 - Phone
- (917) 655-5664
- NPI assigned
- May 7, 2015
- Last updated
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 058263 | NY | |
| General Practice Dentistry | 1223G0001X | DN29756 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
9092 Luna LN
Sarasota, FL 34241-3700
Mailing address
9092 Luna LN
Sarasota, FL 34241-3700
Phone (917) 655-5664
Other practice location 1
29 W 19th St
New York, NY 10011-4232
Phone (212) 675-7877
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN29756 | FL | MD | General Practice Dentistry |
| 058263 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Square Dental | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- New York, NY
- NPI 1740330463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1063890309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9092 LUNA LN",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342413700",
"telephone_number": "917-655-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9092 LUNA LN",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342413700",
"telephone_number": "917-655-5664"
}
],
"practiceLocations": [
{
"address_1": "29 W 19th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100114232",
"country_code": "US",
"telephone_number": "212-675-7877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRYTSENKO",
"first_name": "KATERYNA",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "058263",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN29756",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- Cassie Gruber, PA-C
- Karen Leslie Gruber, APRN
- Diane Gruenewald, LMT
- Agnieszka M Gruszecka, LMT
- Damian Grycel
- Terrence Brian Grywinski, LICENSED MASSAGE THE
- GSP Surgical Assistants, Inc
- GT Spiritual Enterprises, Inc. (d/b/a ZEN Body-ZEN Health and Asian Tea Room)
- Robert John Guagenti, PHARM.D.
- Joshua Guaita, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.