Eitan Y. Gross, D.M.D.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

DN 19676 Issued in FL

Practice address

4580 Adams Ave
Miami Beach, FL 33140-2932

Phone

(786) 546-7396

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By the provider in NPPES

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1326474768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 ADAMS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402932",
            "telephone_number": "786-546-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 ADAMS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402932",
            "telephone_number": "786-546-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "EITAN",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "FL",
            "license": "DN 19676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Griego, PHARMD
• Eduardo Andres Grimaldi, MD
• David John Grimes Jr., LAC, AP
• Chana Gross, D.P.T
• Edward A. Gross, M.D.
• Jody Beth Gross, PHD
• Suzanne C Gross
• Warren K Gross, OD
• Elise Grossman
• Emily Grossman, OTR/L

• Dental Anesthesiology in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Dental Anesthesiology in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.