Joseph Edward Gross, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.029035 Issued in IL

Practice address

3540 N Belt W
Suite B
Belleville, IL 62226-5975

Phone

(618) 235-9101

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IL

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beltline Dental

  • General Practice Dentistry
  • Belleville, IL
  • NPI 1538424577
  NPD (past)
• Dr. Leo N. Dumstorff DDS LTD.

  • Dental Clinic/Center
  • Belleville, IL
  • NPI 1518239268
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1306109061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 N BELT W",
            "address_2": "SUITE B",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265975",
            "telephone_number": "618-235-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 N BELT W",
            "address_2": "SUITE B",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265975",
            "telephone_number": "618-235-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory J Simmons Orthopedic Surgery LLC
• Michael Gremmelsbacher, CRNA
• Franklin Donald Grey II, MSW
• Andrew Todd Griffin, CRNA
• Tatyania Jamese Griffin, RBT
• Group Interventions
• Susan Jacqueline Grumbine, LAC
• Courtney M Guebert, PA-C
• Michael Gerard Guignon Sr., MD
• Lauren Gunter, LCSW

• General Practice Dentistry in Belleville, IL
• Providers in Belleville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.