Gordon S. Groisser, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13507 Issued in MD

Legal business name

GORDON S. GROISSER, DDS, MSD

Practice address

18638 Crestwood Drive
Lower Level
Hagerstown, MD 21742

Phone

(301) 393-2680

Fax

(301) 393-2682

NPI assigned

Jan 5, 2012

Organization subpart

Yes

Parent organization

GORDON S. GROISSER, DDS, MSDAs reported in NPPES

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

Authorized official

Name

Dr. Gordon S Groisser, DDS, MSD

Title

Owner/President

Phone

(301) 393-2680

Specialties & licenses 1

Addresses

Other names 1

• Village Orthodontics Doing business as

Part of

Gordon S Groisser DDS MSD

Locations

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1790055804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18638 CRESTWOOD DRIVE",
            "address_2": "LOWER LEVEL",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-393-2680",
            "fax_number": "301-393-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18638 CRESTWOOD DRIVE",
            "address_2": "LOWER LEVEL",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-393-2680",
            "fax_number": "301-393-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON S. GROISSER, DDS, MSD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GORDON S. GROISSER, DDS, MSD",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "GROISSER",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-393-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "13507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosa Erica Gonzales
• David Gonzalez-Cawley, MD
• Good Shepherd Support Inc
• Stuart Jack Goodman, M.D., MBA
• Dylan Wayne Goodwin, PHARMD
• Eryn Gordon, PHARMD, RPH
• Krista Marie Gordon, LCPC
• Nina J. Gordon, M.D.
• Stacey Gordon, R.PH.
• Jessica Gorman, LGPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.