Organization Active NPI

Dr Jeanne J Grosso DMD

  • General Practice Dentistry
  • Schenectady, NY
National Provider Identifier
1780674895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR JEANNE J GROSSO DMD
Practice address
139 Erie Blvd
Schenectady, NY 12305-2204
Phone
(518) 370-8086
Fax
(518) 370-8086
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeanne J Grosso, DMDNPI 1538496716
Title
Dentist
Phone
(518) 370-8086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

139 Erie Blvd
Schenectady, NY 12305-2204

Mailing address

139 Erie Blvd
Schenectady, NY 12305-2204
Phone (518) 370-8086

National Provider Directory

National Provider Directory

Locations

139 Erie Blvd
Schenectady, NY 12305
Phone (518) 370-8086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780674895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ERIE BLVD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052204",
            "telephone_number": "518-370-8086",
            "fax_number": "518-370-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ERIE BLVD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052204",
            "telephone_number": "518-370-8086",
            "fax_number": "518-370-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JEANNE J GROSSO DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSSO",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "518-370-8086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.