Kayla Jo Gruszcynski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25772 Issued in FL

Practice address

7451 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33702-5203

Phone

(727) 522-2222

Fax

(727) 522-2222

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kayla Jo Weatherwax Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dental Arts Ninth Street P.a.

  • General Practice Dentistry
  • St Petersburg, FL
  • NPI 1285264374
  NPD
• Amy M Gentner DDS PC

  dba Gentner Family Dentistry

  • General Practice Dentistry
  • Saint Johns, MI
  • NPI 1679694467
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1932767092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792435",
            "telephone_number": "989-224-7559",
            "fax_number": "989-224-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 DR MARTIN LUTHER KING JR ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337025203",
            "telephone_number": "727-522-2222",
            "fax_number": "727-522-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSZCYNSKI",
        "first_name": "KAYLA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901023173",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla.weatherwax@sgidental.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7451 Dr Martin Luther King Jr St N",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337025203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "WEATHERWAX",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.