Active NPI
W S Grossman DDS Family LTD PTR
- Dentist
- Rocky River, OH
National Provider Identifier
1912066366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13491
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter S Grossman, DDS
- Title
- General Partner
- Phone
- (440) 333-4987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13491 | OH | Primary |
Addresses
Primary practice location
2924 Plymouth Ave
Rocky River, OH 44116-3230
Mailing address
2924 Plymouth Ave
Rocky River, OH 44116-3230
Phone (440) 333-4987
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Rocky River, OH
- NPI 1437217726
NPI Registry JSON
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": []
}
Other providers in Rocky River, OH
Sources for this page
- 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.