Lawrence B Grodin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037575 Issued in NY

Practice address

1323 Route 9
Suite 209
Wappingers Falls, NY 12590-4904

Phone

(845) 297-0757

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shay Markovitch Dentistry PLLC

  • Dentist
  • Wappingers Falls, NY
  • NPI 1972031441
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1144208133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 9",
            "address_2": "SUITE 209",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904904",
            "telephone_number": "845-297-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 9",
            "address_2": "SUITE 209",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904904",
            "telephone_number": "845-297-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODIN",
        "first_name": "LAWRENCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE #",
            "identifier": "037575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen M Greagor, RN
• Heidi Lynne Greene, DNP, FNP
• Catherine E Griffin, BCBA
• Ian Lamar Griffin, LCSW-R
• Kelcie Grimm
• Norma Guerra-Albin, M.A.,CCC-SLP
• Alberto Guillen
• Deborah Lou Gulick, R.N.
• Carrie Gunn
• Nora Claire Guschwan, D.O.

• General Practice Dentistry in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.