Grosse DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027794 Issued in IL

Legal business name

GROSSE DMD INC.

Practice address

3939 W Fullerton Ave
Chicago, IL 60647-2243

Phone

(773) 235-0000

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gina Leigh Grosse, D.M.D.

Title

General Dentist

Phone

(309) 472-0645

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1609176999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 N FRANKLIN ST",
            "address_2": "UNIT 1104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108793",
            "telephone_number": "309-472-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472243",
            "telephone_number": "773-235-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "GROSSE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "309-472-0645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Gross, MD PHD
• Melanie Gross
• Michael David Gross, M.D., J.D.
• Rachel Gross, PA-C
• Scott Evan Grossberg, MD
• Christine M Grosse, R.D.
• Jennifer L Grossheider
• Roman Grossi, M.S., M.A.
• Lauren Grosskopf, MS, LDN
• Grossman Family Therapy PLLC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.