Individual provider Active NPI

Ronald John Grycko, DDS

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1902905656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30018618 Issued in OH
Practice address
9050 Plainfield Road
Cincinnati, OH 45236-1200
Phone
(513) 791-3138
Fax
(513) 791-3139
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 30018618 OH Primary

Addresses

Primary practice location

9050 Plainfield Road
Cincinnati, OH 45236-1200

Mailing address

9050 Plainfield Road
Cincinnati, OH 45236-1200
Phone (513) 791-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30018618OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald J Grycko DDS Inc General Practice Past Accepting new patients

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902905656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PLAINFIELD ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361200",
            "telephone_number": "513-791-3138",
            "fax_number": "513-791-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PLAINFIELD ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361200",
            "telephone_number": "513-791-3138",
            "fax_number": "513-791-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYCKO",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • 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.