Beverly Ann Gross, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902004756 Issued in MI

Practice address

1384 Indian Mound E
Bloomfield Hills, MI 48301-2254

Phone

(248) 931-7832

NPI assigned

Jul 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255853669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 INDIAN MOUND E",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012254",
            "telephone_number": "248-931-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 INDIAN MOUND E",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012254",
            "telephone_number": "248-931-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902004756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Grey, MD
• Laura Catherine Lucille Griffin, RD
• Rosalind Griffin, MD
• Andrew Joseph Grix, DPT
• Leslie D Grosinger, MD
• William Stephen Gross, MD
• Grunberger Diabetes Medical Center, PC (Grunberger Diabetes & Endocrinology)
• George Grunberger, MD
• Robert William Grundeman, D.D.S.
• Rami Gulli

• Dental Hygienist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.