W S Grossman DDS Family LTD PTR

Primary specialty

DentistTaxonomy code 122300000X

License

13491 Issued in OH

Legal business name

W S GROSSMAN DDS FAMILY LTD PTR

Practice address

2924 Plymouth Ave
Rocky River, OH 44116-3230

Phone

(440) 333-4987

Fax

(440) 333-4986

NPI assigned

Dec 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter S Grossman, DDSNPI 1164764718

Title

General Partner

Phone

(440) 333-4987

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Walter S Grossman, DDS

  • Dentist
  • Rocky River, OH
  • NPI 1164764718
  Authorized official Same address or phone
• David L McNamee, DDS

  • Dentist
  • Rocky River, OH
  • NPI 1437217726
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912066366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 PLYMOUTH AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163230",
            "telephone_number": "440-333-4987",
            "fax_number": "440-333-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 PLYMOUTH AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163230",
            "telephone_number": "440-333-4987",
            "fax_number": "440-333-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W S GROSSMAN DDS FAMILY LTD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "440-333-4987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "13491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.