Organization Active NPI

Ronald J Grycko DDS Inc

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1316046071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30018618 Issued in OH
Legal business name
RONALD J GRYCKO DDS INC
Practice address
9050 Plainfield Road
Cincinnati, OH 45236-1200
Phone
(513) 791-3138
Fax
(513) 791-3139
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald John Grycko, DDSNPI 1902905656
Title
Owner Dentist
Phone
(513) 791-3138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30018618 OH Primary

Addresses

Primary practice location

9050 Plainfield Road
Cincinnati, OH 45236-1200

Mailing address

9050 Plainfield Road
Cincinnati, OH 45236-1200
Phone (513) 791-3138

National Provider Directory

National Provider Directory

Locations

9050 Plainfield Rd
Blue Ash, OH 45236
Phone (513) 791-3138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316046071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PLAINFIELD ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361200",
            "telephone_number": "513-791-3138",
            "fax_number": "513-791-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PLAINFIELD ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361200",
            "telephone_number": "513-791-3138",
            "fax_number": "513-791-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J GRYCKO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRYCKO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "513-791-3138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.