Individual provider Active NPI

Michael Edward Grosso, DDS

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1285926428
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410772 Issued in VA
Practice address
2946 Sleepy Hollow Rd
Suite #2-G
Falls Church, VA 22044-2003
Phone
(703) 532-0072
Fax
(703) 532-0213
NPI assigned
May 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 0401410772 VA Primary

Addresses

Primary practice location

2946 Sleepy Hollow Rd
Suite #2-G
Falls Church, VA 22044-2003

Mailing address

2946 Sleepy Hollow Rd
Suite #2-G
Falls Church, VA 22044-2003
Phone (703) 532-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20141013000024 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426278532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Grosso DDS PC 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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1285926428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD",
            "address_2": "SUITE #2-G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-532-0072",
            "fax_number": "703-532-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD",
            "address_2": "SUITE #2-G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-532-0072",
            "fax_number": "703-532-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSO",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.