NPIMap

Organization Active NPI

Robert a. Gruenberg DDS

  • General Practice Dentistry
  • Claremore, OK
National Provider Identifier
1164697074
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4601 Issued in OK
Legal business name
ROBERT A. GRUENBERG DDS
Practice address
133 W Blue Starr Dr
Claremore, OK 74017-4226
Phone
(918) 342-3477
Fax
(918) 341-9670
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Ms. Pamala Cantwell
Title
Office MGR
Phone
(918) 342-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4601 OK Primary

Addresses

Primary practice location

133 W Blue Starr Dr
Claremore, OK 74017-4226

Mailing address

133 W Blue Starr Dr
Claremore, OK 74017-4226
Phone (918) 342-3477

National Provider Directory

National Provider Directory

Locations

133 W Blue Starr Dr
Claremore, OK 74017
Phone (918) 342-3477

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1164697074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174226",
            "telephone_number": "918-342-3477",
            "fax_number": "918-341-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174226",
            "telephone_number": "918-342-3477",
            "fax_number": "918-341-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. GRUENBERG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "CANTWELL",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "918-342-3477",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.