Active NPI
Daniel E Grossman, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Raleigh, NC
National Provider Identifier
1073585915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9440
- Practice address
- 8200 Creedmoor Rd
Raleigh, NC 27613-1371 - Phone
- (919) 847-6364
- NPI assigned
- Feb 4, 2006
- Last updated
- Mar 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9440 | NC | Primary |
Addresses
Primary practice location
8200 Creedmoor Rd
Raleigh, NC 27613-1371
Mailing address
1444 Tacketts Pond Dr
Raleigh, NC 27614-7637
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 |
|---|---|---|---|
| 9440 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Grossman, DDS, PA | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1073585915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 TACKETTS POND DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 CREEDMOOR RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131371",
"telephone_number": "919-847-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-04",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "9440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.