Tyson Craig Grose, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00203984 Issued in CO

Practice address

691 E Empire St
Cortez, CO 81321-2802

Phone

(970) 565-7946

Fax

(970) 565-9005

NPI assigned

Sep 21, 2018

Last updated

Feb 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Dentist

Education

University of Louisville School of Dentistry, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyson.grose.p1@direct.ahs.nextgenshare.com

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.

• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1932192598
  Medicare reassignment NPD
• Southwest Colorado Mental Health Center Inc

  dba Pagosa Springs Comprehensive Primary Care

  • Family Medicine Physician
  • Pagosa Springs, CO
  • NPI 1619761137
  NPD
• Southwest Colorado Mental Health Center, Inc

  dba axis health system

  • Federally Qualified Health Center (FQHC)
  • Cortez, CO
  • NPI 1134755119
  NPD
• Southwest Colorado Mental Health Center, Inc

  dba Axis Health System

  • Federally Qualified Health Center (FQHC)
  • Cortez, CO
  • NPI 1447630504
  NPD
• Southwest Colorado Mental Health Center, Inc

  dba Axis Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1376374843
  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1720562150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2238",
            "fax_number": "970-335-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E EMPIRE ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212802",
            "telephone_number": "970-565-7946",
            "fax_number": "970-565-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 West 200 South",
            "address_purpose": "LOCATION",
            "city": "Parowan",
            "state": "UT",
            "postal_code": "84761",
            "country_code": "US",
            "telephone_number": "435-477-9577",
            "fax_number": "435-477-9566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Maple St Ste B",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813213562",
            "country_code": "US",
            "telephone_number": "970-565-1800",
            "fax_number": "833-245-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811478368",
            "country_code": "US",
            "telephone_number": "970-264-2104",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dove Creek",
            "state": "CO",
            "postal_code": "813244900",
            "country_code": "US",
            "telephone_number": "970-677-2291",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Mercury Village Dr",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018955",
            "country_code": "US",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSE",
        "first_name": "TYSON",
        "middle_name": "CRAIG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "10854655-9922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Green, D.O.
• Gerald Wayne Griebel, M.D.
• Marilyn Griebel, CNP
• Emilee A Griese Blair
• Justin Grisham, D.O.
• David L. Guy, D.MIN
• Stephanie Lynn Hackett, PHARMD
• Opie Jace Hainey, D.C.
• Megan Elyse Haley, DC
• Ryan Haley

• Dentist in Cortez, CO
• Providers in Cortez, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.