Organization Active NPI

Steven Grossman DDS PC

  • General Practice Dentistry
  • Kingston, NY
National Provider Identifier
1821203472
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28057 Issued in NY
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

Updated by the provider on Sep 24, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.