Colton Gruhler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110586 Issued in CA

Practice address

1730 Novato Blvd Ste a
Novato, CA 94947-3048

Phone

(415) 450-6284

NPI assigned

Aug 16, 2024

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

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1083446157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RICO WAY APT 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231246",
            "telephone_number": "530-262-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NOVATO BLVD STE A",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473048",
            "telephone_number": "415-450-6284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949412905",
            "country_code": "US",
            "telephone_number": "415-388-2172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUHLER",
        "first_name": "COLTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Miller, DDS, Inc (Marin Braces)
• Kaitlyn Grenz, M.S.ED, ED.S
• John Scott Grigsby, PHARMD
• Cerbelio Gilberto Grijalva Reyes
• Dianne E. Grubb, MA, CCC-SLP
• Nicole Guest, PPS
• Bryan Alexis Guido
• Veronica Guillen
• Katelyn Rose Gullatt, OTR
• Melissa Guyot

• General Practice Dentistry in Novato, CA
• Providers in Novato, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.