Brienne Nicole Grossman, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0983 Issued in SD

Practice address

2001 W 45TH St
Sioux Falls, SD 57105-6265

Phone

(605) 338-9242

NPI assigned

May 13, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dental Center P.C.

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1164538450
  NPD (past)

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1720347677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 45TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056265",
            "telephone_number": "605-338-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 45TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056265",
            "telephone_number": "605-338-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "BRIENNE",
        "middle_name": "NICOLE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-13",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Anne Gross
• Cooper Buford Gross
• Spencer Lee Gross, DDS
• Nicole Grossenburg, MD
• Nicole R Grosshuesch, COA
• Josie Lynn Grosz
• Amy Jo Grotewold, REGISTERED NURSE
• Chad Joseph Grotewold, MA, ATC, CSCS
• Rebecca May Groth, M.A., CCC-SLP
• Grounded Path Therapy

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.