Individual provider Active NPI

Stephanie L Gruenes, D.D.S.

  • Dentist
  • Becker, MN
National Provider Identifier
1174737084
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11331 Issued in MN
Practice address
13734 First Street
Becker, MN 55308
Phone
(763) 262-7645
Fax
(763) 262-2345
NPI assigned
May 9, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11331 MN Primary
General Practice Dentistry 1223G0001X D11331 MN

Addresses

Primary practice location

13734 First Street
Becker, MN 55308

Mailing address

13734 First Street
P.O. Box 38
Becker, MN 55308
Phone (763) 262-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11331MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Snoring and Sleep Apnea Center PA Past Accepting new patients
Dr. Stephanie Gruenes Center for Cosmetic Dentistry PA Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174737084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13734 FIRST STREET",
            "address_2": "P.O. BOX 38",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "55308",
            "telephone_number": "763-262-7645",
            "fax_number": "763-262-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13734 FIRST STREET",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "55308",
            "telephone_number": "763-262-7645",
            "fax_number": "763-262-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENES",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11331",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Becker, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.