Active NPI
David A Grossman, D.D.S.
- General Practice Dentistry
- Baldwin, NY
National Provider Identifier
1174526164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39323
- Practice address
- 824 Merrick Rd
Baldwin, NY 11510-3354 - Phone
- (516) 223-0726
- Fax
- (516) 223-4852
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39323 | NY | Primary |
Addresses
Primary practice location
824 Merrick Rd
Baldwin, NY 11510-3354
Mailing address
824 Merrick Rd
Baldwin, NY 11510-3354
Phone (516) 223-0726
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 |
|---|---|---|---|
| 39323 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174526164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 MERRICK RD",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103354",
"telephone_number": "516-223-0726",
"fax_number": "516-223-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 MERRICK RD",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103354",
"telephone_number": "516-223-0726",
"fax_number": "516-223-4852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "39323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin, NY
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.