Mark L Grosko DDS Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

OH21555 Issued in OH

Legal business name

MARK L GROSKO DDS INC

Practice address

843 N 21St St
Suite 103
Newark, OH 43055-7273

Phone

(740) 344-6349

Fax

(740) 344-6350

NPI assigned

Jan 26, 2007

Last updated

Sep 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark L Grosko, DDSNPI 1265614861

Title

President

Phone

(740) 344-6349

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark L Grosko, D.D.S.

  • Endodontics
  • Newark, OH
  • NPI 1265614861
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1548316094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST",
            "address_2": "SUITE 103",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557273",
            "telephone_number": "740-344-6349",
            "fax_number": "740-344-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST",
            "address_2": "SUITE 103",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430557273",
            "telephone_number": "740-344-6349",
            "fax_number": "740-344-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L GROSKO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "GROSKO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-344-6349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "OH21555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "440265",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS FACILITY #",
            "identifier": "187028",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "195423983004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL PROVIDER ID",
            "identifier": "9185647",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424693",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "256022",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1400162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregg A. Mantonya, D.C.
• Jerry Allen Mantonya, D.C.
• Leslie Marcelain, SLP M. ED
• Marilyn K. Inceoglu Lisw-S (Transitions Counseling Center)
• James Thomas Marino II, DC
• Dylen Marple
• Madison C Marple
• Rebecca Marple, LISW-S
• Hannah Elizabeth Marsh
• Kristina D Marsh

• Endodontics in Newark, OH
• Providers in Newark, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.