Alina Gritsan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2016003253 Issued in MO

Practice address

1325 Queens CT
Suite B
Saint Peters, MO 63376-7375

Phone

(636) 928-4441

Fax

(636) 922-3665

NPI assigned

Mar 16, 2016

Last updated

Mar 16, 2016By the provider in NPPES

Sex

Female

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  dba Jungermann Dental Care

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1275753725
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1467813626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 QUEENS CT",
            "address_2": "SUITE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767375",
            "telephone_number": "636-928-4441",
            "fax_number": "636-922-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 QUEENS CT",
            "address_2": "SUITE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767375",
            "telephone_number": "636-928-4441",
            "fax_number": "636-922-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRITSAN",
        "first_name": "ALINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2016003253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Berg DDS PC
• Anastacia Dawn Gregory, CRNA
• Candice Griewing, APN
• Crystal Grimsley
• Erin Grinnan
• Maria Louise Grix
• Jesse Groh, M.D.
• Stan M Gross, DC
• Stephen Louis Gross, D.D.S.
• Paul J Gruber, M.D.

• Dentist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.