Active NPI
Steven Grossman DDS PC
- General Practice Dentistry
- Kingston, NY
National Provider Identifier
1821203472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28057
- Legal business name
- STEVEN GROSSMAN DDS PC
- Practice address
- 370 Kings Mall CT
Kingston, NY 12401-1576 - Phone
- (845) 336-8478
- Fax
- (845) 336-8607
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elaine Cruz
- Title
- Supervisor
- Phone
- (845) 336-8478
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28057 | NY | Primary |
Addresses
Primary practice location
370 Kings Mall CT
Kingston, NY 12401-1576
Mailing address
370 Kings Mall CT
Kingston, NY 12401-1576
Phone (845) 336-8478
National Provider Directory
National Provider DirectoryLocations
370 Kings Mall Ct
Kingston, NY 12401
Phone (845) 336-8478
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Kingston, NY
- NPI 1457470650
-
- General Practice Dentistry
- Kingston, NY
- NPI 1487791117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1821203472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 KINGS MALL CT",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124011576",
"telephone_number": "845-336-8478",
"fax_number": "845-336-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 KINGS MALL CT",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124011576",
"telephone_number": "845-336-8478",
"fax_number": "845-336-8607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN GROSSMAN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "845-336-8478",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "28057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.