Individual provider Active NPI

Michael F Grasso, DDS

  • General Practice Dentistry
  • Chesterfield, MO
National Provider Identifier
1073503587
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14153 Issued in MO
Practice address
2 West Dr
Suite 120
Chesterfield, MO 63017-1843
Phone
(636) 777-7700
Fax
(636) 777-4415
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 14153 MO Primary

Addresses

Primary practice location

2 West Dr
Suite 120
Chesterfield, MO 63017-1843

Mailing address

2 West Dr
Suite 120
Chesterfield, MO 63017-1843
Phone (636) 777-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517000367 MO Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 8022320886 Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14153MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073503587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WEST DR",
            "address_2": "SUITE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171843",
            "telephone_number": "636-777-7700",
            "fax_number": "636-777-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WEST DR",
            "address_2": "SUITE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171843",
            "telephone_number": "636-777-7700",
            "fax_number": "636-777-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.