Walter S Grossman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13491 Issued in OH

Practice address

20575 Center Ridge Road
Suite 400
Rocky River, OH 44116

Phone

(440) 333-4987

Fax

(440) 333-4986

NPI assigned

Mar 21, 2013

Last updated

Mar 21, 2013By the provider in NPPES

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)

Not enrolled

State licenses

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.

• W S Grossman DDS Family LTD PTR

  • Dentist
  • Rocky River, OH
  • NPI 1912066366
  Authorized official Same address or phone

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1164764718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE ROAD",
            "address_2": "SUITE 400",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "telephone_number": "440-333-4987",
            "fax_number": "440-333-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE ROAD",
            "address_2": "SUITE 400",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "44116",
            "telephone_number": "440-333-4987",
            "fax_number": "440-333-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "WALTER",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "13491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912066366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Goldurs, LISW-S
• Goodside Health Medical, PLLC
• Chiara Marie Graver, M.A., BCBA
• Helen I Green-Esterly, BA, MED, LPCC
• Dana Kathleen Griesmer, OD
• Allison Guagenti, OTR/L
• Anna Maria Guglielmo, DDS
• Kathy Marie Guido, OT
• Rudolph Elmer Gulstrand Jr., RPH MBA
• David A Gumucio, D.O.

• Dentist in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.