James Spencer Gruber, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11266027 Issued in UT

Practice address

225 Skyhawk Dr
Wendover, UT 84083-4501

Phone

(435) 665-7730

NPI assigned

May 7, 2019

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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 UT

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

Specialty

Dentist

Education

Roseman Univ of HLTH Sciences, Col of Dental Med, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SGWJ Dental PLLC

  dba Jordan Ridge Dental

  • Dental Clinic/Center
  • West Jordan, UT
  • NPI 1457243784
  Medicare reassignment NPD Authorized official
• SG Dental PLLC

  dba Bonneville Dental

  • Dental Clinic/Center
  • Wendover, UT
  • NPI 1831721240
  NPD Authorized official
• Viet Dentistry

  • Dentist
  • Salt Lake City, UT
  • NPI 1407158413
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1083279764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 W 10305 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958213",
            "telephone_number": "435-665-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SKYHAWK DR",
            "city": "WENDOVER",
            "state": "UT",
            "postal_code": "840834501",
            "telephone_number": "435-665-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "JAMES",
        "middle_name": "SPENCER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11266027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajk Dental Experience (Wendover Dental Care)
• Scott Allen
• D Craig Chamberlain, DDS
• Confederated Tribes of the Goshute Reservation
• Andrew Kaskie, DDS
• McConnell Dental Care II (Wendover Dental Care)
• SG Dental PLLC (Bonneville Dental)
• Wendover Dental Care PC (Wendover Dental Care)
• Wendover Eye Care, Inc

• General Practice Dentistry in Wendover, UT
• Providers in Wendover, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.