Denise L Gross

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1474782 Issued in TX

Practice address

7300 Moon Ridge CT
Fort Worth, TX 76133-8335

Phone

(682) 371-8289

NPI assigned

Mar 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lenthoria Johnson Former name

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1477311322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 MOON RIDGE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761338335",
            "telephone_number": "682-371-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MOON RIDGE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761338335",
            "telephone_number": "682-371-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "DENISE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1474782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-SURGICAL HAIR REPLACEMENT",
            "identifier": "33-1035302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENTHORIA",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Gronberg, M.D.
• Regan Nicole Gronkowski, APRN, FNP-C
• Jonah Groover, DPM
• Heather Grosenbacher, MS CCC-SLP
• Alan Mitchell Gross, D.D.S.
• Eric Christopher Gross, ACNPC-AG
• Timothy Grothe, DC
• Hayley Grover, D.O.
• Jennifer G. Groves, P.A.-C.
• Christopher Sloan Grubb, MD

• Prosthetic/Orthotic Supplier in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.