Beverly Ann Gross, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4728 Issued in AZ

Practice address

9751 N 90TH PL
Scottsdale, AZ 85258-5082

Phone

(480) 860-1266

NPI assigned

Jun 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)

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.

• Terry W. Rudnyk, D.D.S., P.C.

  • Dental Clinic/Center
  • Scottsdale, AZ
  • NPI 1750852117
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720281256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10804 E MEADOWHILL DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852551754",
            "telephone_number": "480-368-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 N 90TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585082",
            "telephone_number": "480-860-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Groben, M.S.ED.
• Jamie Lynn Grom
• Marie Nanetta Gronley, M.D.
• Marcella Elizabeth Groom, PHYSICAL THERAPIST
• James Grosek, PA-C
• Eleanor Marilyn Gross, MSW
• Michaela Gross
• Susan Elizabeth Gross, P.T.
• Grossman & Grossman, LTD.
• Evan Grossman

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• 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.