NPIMap

Organization Active NPI

Grove Family Medicine-DPC

  • Clinic/Center
  • Drayden, MD
National Provider Identifier
1174307656
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GROVE FAMILY MEDICINE-DPC
Practice address
46499 Porto Bello CT
Drayden, MD 20630-3217
Phone
(801) 920-5561
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Sheri Dean, FNP-BC
Title
Owner/Provider
Phone
(801) 920-5561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

46499 Porto Bello CT
Drayden, MD 20630-3217

Mailing address

46499 Porto Bello CT
Drayden, MD 20630-3217
Phone (801) 920-5561

Other names 1

  • Grove Family Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1174307656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46499 PORTO BELLO CT",
            "city": "DRAYDEN",
            "state": "MD",
            "postal_code": "206303217",
            "telephone_number": "801-920-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46499 PORTO BELLO CT",
            "city": "DRAYDEN",
            "state": "MD",
            "postal_code": "206303217",
            "telephone_number": "801-920-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE FAMILY MEDICINE-DPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-920-5561",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grove Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Drayden, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.