Dr Jay Grossman & Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR JAY GROSSMAN & ASSOCIATES

Practice address

11980 San Vicente Blvd Ste 507
Los Angeles, CA 90049-6603

Phone

(310) 820-0123

NPI assigned

May 10, 2019

Last updated

May 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Grossman, DDSNPI 1144354713

Title

Owner

Phone

(310) 820-0123

Specialties & licenses 1

Addresses

Other names 1

• Dr Jay Grossman & Associates Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay S Grossman, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1144354713
  NPD (past) Authorized official
• Bradley Salvatore

  • Dentist
  • Huntington Park, CA
  • NPI 1043944564
  NPD (past)
• Barry Dean Weichman, DDS

  • Endodontics
  • Los Angeles, CA
  • NPI 1689886616
  NPD (past)

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1811553324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496603",
            "telephone_number": "310-820-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496603",
            "telephone_number": "310-820-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAY GROSSMAN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-820-0123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jay Grossman & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.