Richard R. Grossman, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020564L Issued in PA

Legal business name

RICHARD R. GROSSMAN, D.D.S., P.C.

Practice address

489 Market St
Kingston, PA 18704-4534

Phone

(570) 283-0664

Fax

(570) 283-5623

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Richard R Grossman, D.D.S.NPI 1750312930

Title

President

Phone

(570) 283-0664

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Richard Reid Grossman, D.D.S.

  • General Practice Dentistry
  • Kingston, PA
  • NPI 1750312930
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346303252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044534",
            "telephone_number": "570-283-0664",
            "fax_number": "570-283-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044534",
            "telephone_number": "570-283-0664",
            "fax_number": "570-283-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R. GROSSMAN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-283-0664",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020564L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "21749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reliable Heartz LLC Christina Marie Layden Moore
• Carol Marie Rentsch, COTA/L
• Mary Repasky, MS COUNSELING
• Revive Counseling Associates
• Alvaro G Reymunde, M.D
• Maria C Richards, PSY.D.
• David F Rimple, M.D.
• Jeanne Ann Rinehouse, MD
• Andrew Rinker, DC
• Lorraine Riotto, M.D.

• General Practice Dentistry in Kingston, PA
• Providers in Kingston, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.