Sara G Grossi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10193 Issued in NC

Practice address

4203 Whitetail CT
Greenville, NC 27834-0527

Phone

(252) 752-4336

NPI assigned

Sep 10, 2007

Last updated

Jan 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1073708418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 WHITETAIL CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340527",
            "telephone_number": "252-752-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 WHITETAIL CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340527",
            "telephone_number": "252-752-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSI",
        "first_name": "SARA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10193",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "10193",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "10193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907748",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Griswold, MD
• Savannah Leigh Gronowski, PTA
• Ian Wallace Grooms, DO
• Teresa Gross, F.N.P.
• Mauro Grossi, MD
• Benjamin Jared Grossnickle, LCSW-A, LCAS-A
• Growth Mindset Counseling, PLLC
• Christopher Thomas Grubb, M.D.
• Jamie S Grubey, MD
• Lillian Gruebel

• Dentist in Greenville, NC
• Providers in Greenville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.