John K Grothe, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014448 Issued in FL

Practice address

8454 Northcliffe Blvd
Lakeside Family Dental Care
Spring Hill, FL 34606-1140

Phone

(352) 686-1122

Fax

(352) 688-8693

NPI assigned

Apr 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 names 1

• Dr. Brad R Gosen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851412613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8454 NORTHCLIFFE BLVD",
            "address_2": "LAKESIDE FAMILY DENTAL CARE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34606",
            "telephone_number": "352-686-1122",
            "fax_number": "352-688-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8454 NORTHCLIFFE BLVD",
            "address_2": "LAKESIDE FAMILY DENTAL CARE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061140",
            "telephone_number": "352-686-1122",
            "fax_number": "352-688-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHE",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN014448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "GOSEN",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leslie Kaye Griffen, ARNP
• Michael Brent Griffen, D.O.
• Melissa Claire Griffin, RCSWI
• Morgan Lynn Griffin
• Jonathan E Griffith, R.PH.
• Guardian Home Health
• Ralph L Guatelli, PHARMACIST
• Gisela Guevara
• Kevin Wallace Guffey, PHARM.D.
• Guiding Light Rehab, Inc

• General Practice Dentistry in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• General Practice Dentistry in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.