Charles Groscost, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D009458 Issued in AZ

Practice address

4501 N 7TH St
Phoenix, AZ 85014-3804

Phone

(602) 845-5730

NPI assigned

May 23, 2016

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

State licenses

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.

• Arcadia Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1902149164
  NPD (past)
• Phoenix Central Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1053176362
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1568819233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E FLORIAN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045401",
            "telephone_number": "480-295-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143804",
            "telephone_number": "602-845-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSCOST",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009458",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Renae Grooters, NP
• Matthew Gropler
• Melanie Romayne Friess Gropler
• Elaine Marie Groppenbacher, LCSW
• Amy M Groscost, B.S.
• Carrie Beth Grose, LMSW
• John Michael Grose, D.O.
• Sondra Grose, REGISTERED NURSE
• Addam Lee Gross, MC, LPC
• Benjamin Jeffrey Gross, OTR/L

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.