Edward Louis Grubaugh, D.D.S.,M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19043 Issued in MI

Practice address

5238 W St Joe Hwy
Lansing, MI 48917-4085

Phone

(517) 321-4375

NPI assigned

Aug 15, 2007

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1063604890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174085",
            "telephone_number": "517-321-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174085",
            "telephone_number": "517-321-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBAUGH",
        "first_name": "EDWARD",
        "middle_name": "LOUIS",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "19043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andesite Grossmeyer, LLMSW
• Robin Oberle Groszko, ACSW
• Heather Fay Grothous, D.O.
• Riley M Groves, OTD, OTRL
• Growing Connections Therapeutic Services PLLC
• Joseph Grubaugh
• Allison Grubb, SWT
• Paul F Gualtier, PAC
• Aastyn Kerria Guarino, PA-C
• Craig A Gudakunst, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.