Lisa T Grosso, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

42050 Issued in CA

Practice address

2425 East St Ste 16
Concord, CA 94520

Phone

(925) 676-2160

Fax

(925) 676-2165

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1992990832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 EAST ST STE 16",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201926",
            "telephone_number": "925-676-2160",
            "fax_number": "925-676-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 EAST ST STE 16",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-676-2160",
            "fax_number": "925-676-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSO",
        "first_name": "LISA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "42050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Grisanti, PT
• Lucas Grisham
• Ariella Grodzinsky
• Jacob E Gross, PT
• Rachael Grossman
• Kelly Groves
• Madison Gruber
• Marites Grunert
• Nicole Grutman, RN
• Jeffery Grzechowiak

• Periodontics in Concord, CA
• Providers in Concord, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.