McDonald & Gruchalla, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1957 Issued in ND

Legal business name

MCDONALD & GRUCHALLA, D.D.S., P.C.

Practice address

1231 27TH St S
Fargo, ND 58103-8722

Phone

(701) 235-1261

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Guy Gruchalla, DDSNPI 1245249135

Title

Co-Owner, Dentist

Phone

(701) 235-1261

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Guy Gruchalla, D.D.S.

  • General Practice Dentistry
  • Fargo, ND
  • NPI 1245249135
  NPD (past) Authorized official
• James Lee McDonald, DDS

  • General Practice Dentistry
  • Lakeland, MN
  • NPI 1851408991
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053453688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 27TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038722",
            "telephone_number": "701-235-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 27TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038722",
            "telephone_number": "701-235-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD & GRUCHALLA, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUCHALLA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "CO-OWNER, DENTIST",
        "authorized_official_telephone_number": "701-235-1261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41376",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcy Brooke McCue, BSN, RN
• Melissa J McCulley, O.D.
• Sarah J. McCullough, M.D.
• Jon'E Kaye McDaniel
• Savannah Marie McDaniel, LMT
• Elizabeth McDonald
• Jazmia McDonald
• Markeela Gloria McDonald
• Patricia N McDonald
• Sean D McDonald, PA-C

• General Practice Dentistry in Fargo, ND
• Providers in Fargo, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.