Michael H Grousd, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DO7926 Issued in AZ

Practice address

1360 W Irvington Rd Ste 180
Tucson, AZ 85746-4102

Phone

(520) 777-1428

NPI assigned

Mar 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Dr. Michael H. Grousd DDS Ma LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Vernon Hills, IL
  • NPI 1972656890
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1821260951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "856461450",
            "telephone_number": "520-310-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W IRVINGTON RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857464102",
            "telephone_number": "520-777-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUSD",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "DO7926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80022385",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth D Grossman
• Solomon P Grossman, PH.D.
• Jessica Anne Grotfeldt, L.AC
• Sarah Grothe
• Grounded Wellness Inc
• Dawn A Grove, PMHNP
• Julia Elizabeth Grover, OTR/L, CHT
• Groves Assisted Living Homes LLC
• Groves Assisted Living Homes LLC
• Groves Assisted Living Homes LLC

• Oral and Maxillofacial Surgery (Dentist) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.