Andrew Bryan Gross, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-024171-L Issued in PA

Practice address

63 Chestnut Rd
Suite 1
Paoli, PA 19301-1535

Phone

(610) 647-4363

NPI assigned

Jul 19, 2006

Sex

Male

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

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275553943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CHESTNUT RD",
            "address_2": "SUITE 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011535",
            "telephone_number": "610-647-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CHESTNUT RD",
            "address_2": "SUITE 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011535",
            "telephone_number": "610-647-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ANDREW",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-024171-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Gregory, MSW
• Corinne Greskiewicz, ATR-BC
• Nicole Jeanine Griffin, MS, CCC-A
• Talia M Grim, CRNA
• Mary Ann Alexandra Groncki, MSW LCSW
• Crystal Grzeczkowski
• Sandra Emilie Grzybicki, DMD
• Kimberlee Guevin, CRNP
• Gulia Omene DMD LLC
• Swati Gulwani, PT

• General Practice Dentistry in Paoli, PA
• Providers in Paoli, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.