Organization Active NPI

Bobby J Grossi DDS of Swartz Creek

  • Dentist
  • Swartz Creek, MI
National Provider Identifier
1912268012
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018775 Issued in MI
Legal business name
BOBBY J GROSSI DDS OF SWARTZ CREEK
Doing business as
Gateway Dental Swartz Creek
Practice address
4495 Morrish Rd
Swartz Creek, MI 48473-1346
Phone
(810) 635-3511
Fax
(810) 635-4439
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Dr. Bobby John Grossi, DDS
Title
President
Phone
(810) 820-1537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901018775 MI Primary

Addresses

Primary practice location

4495 Morrish Rd
Swartz Creek, MI 48473-1346

Mailing address

4495 Morrish Rd
Swartz Creek, MI 48473-1346
Phone (810) 635-3511

Other names 1

  • Gateway Dental Swartz Creek Doing business as

National Provider Directory

National Provider Directory

Locations

4495 Morrish Rd
Swartz Creek, MI 48473
Phone (248) 716-5501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1912268012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 MORRISH RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731346",
            "telephone_number": "810-635-3511",
            "fax_number": "810-635-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 MORRISH RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484731346",
            "telephone_number": "810-635-3511",
            "fax_number": "810-635-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY J GROSSI DDS OF SWARTZ CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "GROSSI",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-820-1537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Dental Swartz Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swartz Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.