Organization Active NPI

Dr. Scott a Grasso DDS PC

  • Dentist
  • Muncie, IN
National Provider Identifier
1699879783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009964 Issued in IN
Legal business name
DR. SCOTT A GRASSO DDS PC
Practice address
3212 W Jackson St
Muncie, IN 47304-4314
Phone
(765) 287-8040
Fax
(765) 282-9332
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott A Grasso, DDSNPI 1174738934
Title
President/Dentist
Phone
(765) 287-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009964 IN Primary

Addresses

Primary practice location

3212 W Jackson St
Muncie, IN 47304-4314

Mailing address

3212 W Jackson St
Muncie, IN 47304-4314
Phone (765) 287-8040

National Provider Directory

National Provider Directory

Locations

3212 W Jackson St
Muncie, IN 47304
Phone (765) 287-8040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699879783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044314",
            "telephone_number": "765-287-8040",
            "fax_number": "765-282-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044314",
            "telephone_number": "765-287-8040",
            "fax_number": "765-282-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SCOTT A GRASSO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRASSO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "765-287-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.