MALLORY GROSSMAN DDS
NPI 1790198547
Dentist - General Practice in Arlington, VA
About Mallory Grossman Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY GROSSMAN DDS (NPI 1790198547) is an individual general practice provider in Arlington, Virginia, licensed in Virginia (0401414946) and active in the NPI registry since June 2014. She has opted out of Medicare through November 6, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mallory Grossman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2015 through November 6, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mallory Grossman's NPI number?
The NPI number for Mallory Grossman is 1790198547. It was assigned to this individual provider in the NPPES registry on June 10, 2014.
Where is Mallory Grossman located?
Mallory Grossman practices at 1600 Wilson Blvd Ste 620, Arlington, VA 22209. The listed phone number is (703) 524-0288.
What is Mallory Grossman's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mallory Grossman enrolled in Medicare?
No. Mallory Grossman has opted out of Medicare through November 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Mallory Grossman accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Mallory Grossman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mallory Grossman was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mallory Grossman, DDS · NPI 1790198547
General Practice provider in Arlington, Virginia. Individual provider, active in the CMS NPPES registry since June 10, 2014.
## Identity
- **NPI:** 1790198547 (Entity type: Individual)
- **Enumerated:** June 10, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 0401414946 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 WILSON BLVD STE 620, Arlington, VA 22209-2596
- **Phone:** (703) 524-0288
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 6, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1790198547) · Data from the CMS NPPES public registry.