NPIMap

Organization Active NPI

David C. Gruber, DDS, Ms, PC

  • Endodontics
  • Walker, MI
National Provider Identifier
1134469869
Registry record updated Feb 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901014839 Issued in MI
Legal business name
DAVID C. GRUBER, DDS, MS, PC
Practice address
1100 4 Mile Rd NW
Suite C
Walker, MI 49544-7397
Phone
(616) 784-5800
Fax
(616) 784-5801
NPI assigned
Feb 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2013

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

Authorized official

Name
David C. Gruber, DDS, MSNPI 1912913153
Title
President
Phone
(616) 784-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 2901014839 MI Primary

Addresses

Primary practice location

1100 4 Mile Rd NW
Suite C
Walker, MI 49544-7397

Mailing address

1100 4 Mile Rd NW
Suite C
Walker, MI 49544-7397
Phone (616) 784-5800

Other names 1

  • Grand Rapids Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1100 4 Mile Rd NW
Ste C
Walker, MI 49544
Phone (616) 784-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360972800000",
    "number": "1134469869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 4 MILE RD NW",
            "address_2": "SUITE C",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495447397",
            "telephone_number": "616-784-5800",
            "fax_number": "616-784-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 4 MILE RD NW",
            "address_2": "SUITE C",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495447397",
            "telephone_number": "616-784-5800",
            "fax_number": "616-784-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. GRUBER, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-16",
        "last_updated": "2013-02-16",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-784-5800",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901014839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Rapids Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walker, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2013; 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.