Individual provider Active NPI

Marvin F. Grower, DDS

  • Periodontics
  • Washington, DC
National Provider Identifier
1275779274
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DEN5522 Issued in DC
Practice address
Howard Univ College of Dent 600 W St NW
Washington, DC 20059-0001
Phone
(202) 806-0321
NPI assigned
Dec 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DEN5522 DC Primary

Addresses

Primary practice location

Howard Univ College of Dent 600 W St NW
Washington, DC 20059-0001

Mailing address

1615 Hugo Cir
Silver Spring, MD 20906-5921
Phone (301) 929-8156

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

LicenseStateTypeSpecialty
DEN5522DCMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229817600000",
    "number": "1275779274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HUGO CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065921",
            "telephone_number": "301-929-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOWARD UNIV COLLEGE OF DENT 600 W ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200590001",
            "telephone_number": "202-806-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROWER",
        "first_name": "MARVIN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN5522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2008; 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.