Individual provider Active NPI

Ross Ira Grounds, DDS

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1902533524
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38809 Issued in TX
Practice address
4407 Little Rd Ste 600
Arlington, TX 76016-5626
Phone
(682) 273-0025
NPI assigned
Aug 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38809 TX Primary

Addresses

Primary practice location

4407 Little Rd Ste 600
Arlington, TX 76016-5626

Mailing address

12485 Montego PLZ
Dallas, TX 75230-1723
Phone (281) 910-8492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026002422 TX Order and Referring Only - DentistPractitioner - Dentist 5092181453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Modern Dentistry PC CurrentSince Aug 7, 2022 Accepting new patients

Locations

4407 Little Rd
Ste 600
Arlington, TX 76016
Phone (682) 273-0025

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1902533524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12485 MONTEGO PLZ",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301723",
            "telephone_number": "281-910-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 LITTLE RD STE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165626",
            "telephone_number": "682-273-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUNDS",
        "first_name": "ROSS",
        "middle_name": "IRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.