NPIMap

Organization Active NPI

David H Gross DPM

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1720071202
Registry record updated Dec 5, 2007
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Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0000560 Issued in FL
Legal business name
DAVID H GROSS DPM
Practice address
5622 Central Ave
St Petersburg, FL 33707-1718
Phone
(727) 384-3338
Fax
(727) 347-3668
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. David H Gross, DPM
Title
Owner
Phone
(727) 384-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0000560 FL Primary

Addresses

Primary practice location

5622 Central Ave
St Petersburg, FL 33707-1718

Mailing address

5622 Central Ave
St Petersburg, FL 33707-1718
Phone (727) 384-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1720071202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071718",
            "telephone_number": "727-384-3338",
            "fax_number": "727-347-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071718",
            "telephone_number": "727-384-3338",
            "fax_number": "727-347-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H GROSS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-384-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "0000560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.