Rebecca Burack Gross

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

N6197 Issued in NC

Practice address

1146 N New Hope Rd
Gastonia, NC 28054-2959

Phone

(704) 865-6425

Fax

(704) 865-2568

NPI assigned

Jan 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pediatric Dentistry and Orthodontics

  dba Charles W. Connor, Jr., DDS, MS

  • Pediatric Dentistry
  • Gastonia, NC
  • NPI 1801939699
  NPD (past)
• Highpoint Anesthesia and Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Smyrna, SC
  • NPI 1952823650
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700936069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542959",
            "telephone_number": "704-865-6425",
            "fax_number": "704-865-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542959",
            "telephone_number": "704-865-6425",
            "fax_number": "704-865-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "REBECCA",
        "middle_name": "BURACK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "N6197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dawn Grimes
• Kaylie Grindstaff, RBT
• Jason Louis Groff, CFO, COA
• Cara Marie Grome, M.D.
• Lynda R. Gross, WHNP,RNC
• Sarah Rona Grossman, M.D.
• Dalissia Burke Grothe, PA-C
• Grotto Psychological Solutions, PC
• Amrita Grover, OTR
• GRS Resource Coordination

• Pediatric Dentistry in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.