Richard Reid Grossman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020564L Issued in PA

Practice address

489 Market St
Kingston, PA 18704-4534

Phone

(570) 283-0664

Fax

(570) 283-5623

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard Reid Grossman Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

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 and National Provider Directory roles.

• Richard R. Grossman, D.D.S., P.C.

  • General Practice Dentistry
  • Kingston, PA
  • NPI 1346303252
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1750312930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044534",
            "telephone_number": "570-283-0664",
            "fax_number": "570-283-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044534",
            "telephone_number": "570-283-0664",
            "fax_number": "570-283-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "RICHARD",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020564L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005204860002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "GROSSMAN",
            "middle_name": "REID",
            "credential": "D.D.S., P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Grencavage, CRNP
• Rebecca Gresh, CRNP
• Griswold International, LLC
• Mark Paul Grohol, OD
• Loren James Grossman, DMD
• Mia Charmian Gruler, PA-C
• Guardian Elder Care at Kingston LLC
• Bradley Guarneri, LPC, NCC
• Jennifer L Gula, PHARM D
• Kathleen Klemer Gumienny, LCSW C

• General Practice Dentistry in Kingston, PA
• Providers in Kingston, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.