Individual provider Active NPI

Janice K Grossman, DDS

  • Dentist
  • Potomac, MD
National Provider Identifier
1225375041
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
89-05 Issued in MD
Practice address
7811 Montrose Road Suite 300
Potomac, MD 20854
Phone
(301) 530-3717
Fax
(301) 417-8170
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 89-05 MD Primary

Addresses

Primary practice location

7811 Montrose Road Suite 300
Potomac, MD 20854

Mailing address

7811 Montrose Road Suite 300
Potomac, MD 20854
Phone (301) 530-3717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 4, 2016 through Aug 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89-05MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Williamowsky, Taff, & Levine Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1225375041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 MONTROSE ROAD SUITE 300",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-530-3717",
            "fax_number": "301-417-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 MONTROSE ROAD SUITE 300",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-530-3717",
            "fax_number": "301-417-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JANICE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "89-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.