Richard J. Gromofsky Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

19675 Issued in OH

Practice address

4336 Brecksville Rd
Suite C
Richfield, OH 44286-9457

Phone

(330) 659-9363

NPI assigned

Mar 9, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guan Dental LLC

  • General Practice Dentistry
  • Richfield, OH
  • NPI 1700798246
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811029481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 BRECKSVILLE RD",
            "address_2": "SUITE C",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869457",
            "telephone_number": "330-659-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 BRECKSVILLE RD",
            "address_2": "SUITE C",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869457",
            "telephone_number": "330-659-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMOFSKY",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Easton
• Christi Eberhardt, BCBA
• Genesis Health Care
• Good Sense Home Healthcare LLC
• Ryan James Graber, ATC
• Amanda D Groover
• Guan Dental LLC
• Have Table Will Travel
• Randolph M. Heinle, D.O.
• Bethany Kaye Hogan, OTR L

• Dentist in Richfield, OH
• Providers in Richfield, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.