Individual provider Active NPI

Allan David Gross, D.D.S.

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1235285172
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 7503 Issued in FL
Practice address
6063 SW 18TH St
Ste. 109
Boca Raton, FL 33433-7118
Phone
(561) 394-5800
Fax
(561) 210-4759
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 7503 FL Primary

Addresses

Primary practice location

6063 SW 18TH St
Ste. 109
Boca Raton, FL 33433-7118

Mailing address

9685 Isles Cay Dr
Delray Beach, FL 33446-9647
Phone (954) 830-8360

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 7503FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Dental Group LLC General Practice 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1235285172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 ISLES CAY DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469647",
            "telephone_number": "954-830-8360",
            "fax_number": "561-210-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 SW 18TH ST",
            "address_2": "STE. 109",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337118",
            "telephone_number": "561-394-5800",
            "fax_number": "561-210-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ALLAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 7503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.