Active NPI
Theodore Grossman, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Sunrise, FL
National Provider Identifier
1134193147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN06818
- Practice address
- 3801 N University Dr
Suite 505
Sunrise, FL 33351-6332 - Phone
- (954) 748-8005
- NPI assigned
- Feb 15, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN06818 | FL | Primary |
Addresses
Primary practice location
3801 N University Dr
Suite 505
Sunrise, FL 33351-6332
Mailing address
3801 N University Dr
Suite 505
Sunrise, FL 33351-6332
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 |
|---|---|---|---|
| DN06818 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1134193147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 N UNIVERSITY DR",
"address_2": "SUITE 505",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 N UNIVERSITY DR",
"address_2": "SUITE 505",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516332",
"telephone_number": "954-748-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN06818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Gregory a Myer PA (RPM Counseling)
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- Alycia Gresham, OTR/L
- Susan Nicole Grey-Parkes
- Melanie Jean Gritz Bond, DMD
- Grotjohan Insurance Inc
- Nicholas David Grotjohan
- Priyanka Grover, MBBS
- Grow Up Behavioral Case Management LLC
- Aileen Marie Grullon-Colon, MA, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.