Organization Active NPI

Daniel Grossman, DDS, PA

Doing business as Grossman Orthodontics

  • Dental Clinic/Center
  • Raleigh, NC
National Provider Identifier
1861881260
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9440 Issued in NC
Legal business name
DANIEL GROSSMAN, DDS, PA
Doing business as
Grossman Orthodontics
Raleigh Orthodontics
Practice address
8200 Creedmoor Rd
Raleigh, NC 27613-1371
Phone
(919) 847-6364
NPI assigned
Jan 22, 2015
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Daniel E Grossman, DDSNPI 1073585915
Title
President
Phone
(919) 919-8476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9440 NC Primary

Addresses

Primary practice location

8200 Creedmoor Rd
Raleigh, NC 27613-1371

Mailing address

1444 Tacketts Pond Dr
Raleigh, NC 27614-7637

Other identifiers 1

IdentifierTypeStateIssuer
1073585915OtherINDIVIDUAL NPI

Other names 2

  • Grossman Orthodontics Doing business as
  • Raleigh Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

8200 Creedmoor Rd
Raleigh, NC 27613
Phone (919) 847-6364

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1861881260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 TACKETTS POND DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131371",
            "telephone_number": "919-847-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL GROSSMAN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-919-8476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073585915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grossman Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raleigh Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.