Sarah Nicole Grupp, DMD, MMS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401419115 Issued in VA

Practice address

944 Glenwood Station LN Ste 203
Charlottesville, VA 22901-1480

Phone

(434) 973-7011

NPI assigned

Aug 12, 2024

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

State licenses

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1003647090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 GLENWOOD STATION LN STE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011480",
            "telephone_number": "434-973-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 GLENWOOD STATION LN STE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011480",
            "telephone_number": "434-973-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPP",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD, MMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Grubb I
• Jonathan Grubbs
• Heather Fariss Grunden, M.S., CCC-SLP
• Kevin Patrick Grunden, M.S., CCC-SLP
• Brian Grundy, M.D.
• William Arthur Grupp II, DDS
• Lucy Adeline Guarnera, PHD
• Juan F Guerra Castro, MD
• Richard L. Guerrant, M.D.
• Julia Anne Guerrier, DDS

• General Practice Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Dentistry in Virginia

• 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.