GORDON D. GROSS, D.D.S.,P.C. (NPI# 1548482300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548482300 |
Entity Type | Organization |
Organization Name | GORDON D. GROSS, D.D.S.,P.C. |
Other Organization Name | NORTHERN AVENUE DENTISTRY |
Practice Address |
2715 W Northern Ave #102 Phoenix AZ 85051-6641 |
Practice Telephone | 6029950280 |
Practice Fax Number | 6028649161 |
Mailing Telephone | 6029950280 |
Mailing Fax Number | 6028649161 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. GORDON D GROSS (OWNER) |
Authorized Official Telephone | 6029950280 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | UNITED CONCORDIA | 824144 | 01 |
Other Name | Type Code |
---|---|
Northern Avenue Dentistry | Doing Business As Name - Organization |
Street Address |
2715 W NORTHERN AVE #102 |
City | PHOENIX |
State | AZ |
Zip Code | 85051-6641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629038955 | Gordon D Gross | Dentist | 2715 W Northern Ave, Suite 102, Phoenix, AZ 85051-6641 | 2006-03-23 |
1295877769 | Linda Zimmerman | Dentist | 2715 W Northern Ave, Phoenix, AZ 85051-6641 | 2007-02-13 |
1447210919 | Kyra D Lee | Dentist | 2715 W Northern Ave, Suite 102, Phoenix, AZ 85051-6641 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
Find all providers in zip 85051 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
1942821301 | Family and Kids Dental LLC | Clinic/Center | 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400 | 2020-04-27 |
1003458688 | Uptown Pediatric Dental Group, Pllc | Clinic/Center | 1515 E Missouri Ave Ste 103, Phoenix, AZ 85014-2443 | 2019-10-15 |
1538720818 | Scott A. Simpson Dds Pllc | Clinic/Center | 14231 N 7th St Ste A14231n7, Phoenix, AZ 85022-4360 | 2019-06-26 |
1992362891 | Lemon Tree Dentistry LLC | Clinic/Center | 1985 W Happy Valley Rd Ste 115, Phoenix, AZ 85085-2888 | 2019-05-26 |
1457813768 | Singh Smile Care | Clinic/Center | 3201 W Peoria Ave Ste A103, Phoenix, AZ 85029-4609 | 2019-04-04 |
1710447370 | Minted Dental | Clinic/Center | 21050 N Tatum Blvd Ste 200, Phoenix, AZ 85050-4262 | 2019-03-20 |
1679032197 | Denkha Dentistry, LLC | Clinic/Center | 1601 E Bell Rd Ste A13, Phoenix, AZ 85022-6254 | 2019-03-14 |
Find all providers in PHOENIX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.