Stephen Michael Grussmark, DDS.,MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3762 Issued in FL

Practice address

7400 N Kendall Dr
Suite 604
Miami, FL 33156-7706

Phone

(305) 670-0263

Fax

(305) 670-0151

NPI assigned

Oct 24, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1427301704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N KENDALL DR",
            "address_2": "SUITE 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567706",
            "telephone_number": "305-670-0263",
            "fax_number": "305-670-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N KENDALL DR",
            "address_2": "SUITE 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567706",
            "telephone_number": "305-670-0263",
            "fax_number": "305-670-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSSMARK",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS.,MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "3762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Grumley, M.D.
• Jeremy Grushka, M.D.
• Matthew Etan Gruskin, MBA, CO
• Grusky Chiropractic Center PA
• Elliott C Grusky, D.C.
• Fred Grynberg, M.D.
• Samantha Grynberg, SLP-CF
• GS Dental
• GS Health Global Service LLC
• GS Health Global Services, Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.