Philip Joel Gross, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5464 Issued in OR

Practice address

101 SW Main St
Ste 290
Portland, OR 97204-3228

Phone

(503) 223-5125

Fax

(503) 221-6915

NPI assigned

Nov 6, 2006

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Geelan Dental Care LLC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1962845453
  NPD (past)
• Philip J. Gross D.D.S., P.C.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1215014519
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336218403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SW MAIN ST",
            "address_2": "STE 290",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043228",
            "telephone_number": "503-223-5125",
            "fax_number": "503-221-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW MAIN ST",
            "address_2": "STE 290",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043228",
            "telephone_number": "503-223-5125",
            "fax_number": "503-221-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "PHILIP",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Gross, MD
• Cheryl Rene Gross, D.C.
• Christina Gross, MPH, RD, LD
• John Gross, CADC I
• Lori Lynn Gross, M.D., M.P.H.
• Robert John Gross, MD
• Sarah Elizabeth Gross, PT, DPT
• Sierra Elizabeth Gross, LMT
• Teresa A Gross, LMT
• Gretchen Grossaint

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.