Individual provider Active NPI

Liana Groza, DDS

  • General Practice Dentistry
  • Spokane Valley, WA
National Provider Identifier
1992879837
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010673 Issued in WA
Practice address
12213 E. Broadway Ave #4
(Spokane Sleep Apnea and Oral-Systemic Dentistry)
Spokane Valley, WA 99206-6131
Phone
(509) 290-6044
Fax
(509) 443-3928
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00010673 WA Primary
General Practice Dentistry 1223G0001X DN012878 GA
General Practice Dentistry 1223G0001X 0021177 TX
General Practice Dentistry 1223G0001X 3511 SC
General Practice Dentistry 1223G0001X 0401410835 VA

Addresses

Primary practice location

12213 E. Broadway Ave #4
(Spokane Sleep Apnea and Oral-Systemic Dentistry)
Spokane Valley, WA 99206-6131

Mailing address

504 W. 24TH Ave.
Liana Groza DDS PLLC
Spokane, WA 99203
Phone (509) 481-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707001526 WA Order and Referring Only - DentistPractitioner - Dentist 8325350226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN012878GAMDGeneral Practice Dentistry
0021177TXMDGeneral Practice Dentistry
0401410835VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Liana Groza DDS PLLC General Practice CurrentSince Sep 10, 2015 Accepting new patients

Locations

12213 E Broadway Ave
Ste 4
Spokane Valley, WA 99206
Phone (509) 290-6044

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1992879837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W. 24TH AVE.",
            "address_2": "LIANA GROZA DDS PLLC",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "509-481-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12213 E. BROADWAY AVE #4",
            "address_2": "(SPOKANE SLEEP APNEA AND ORAL-SYSTEMIC DENTISTRY)",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066131",
            "telephone_number": "509-290-6044",
            "fax_number": "509-443-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROZA",
        "first_name": "LIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010673",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012878",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0021177",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3511",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.