Individual provider Active NPI

Dexter Gruver, L.D.

  • Denturist
  • Gig Harbor, WA
National Provider Identifier
1174953277
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN 60404431 Issued in WA
Practice address
5800 Soundview Dr Ste A102
Gig Harbor, WA 98335-2057
Phone
(208) 403-9694
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DN 60404431 WA Primary

Addresses

Primary practice location

5800 Soundview Dr Ste A102
Gig Harbor, WA 98335-2057

Mailing address

5800 Soundview Dr Ste A102
Gig Harbor, WA 98335-2057
Phone (208) 403-9694

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
DN 60404431WAMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Soundview Denture Clinic P.S. CurrentSince Aug 17, 2025 Accepting new patients

Locations

5800 Soundview Dr
Ste A102
Gig Harbor, WA 98335
Phone (208) 403-9694

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1174953277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 SOUNDVIEW DR STE A102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352057",
            "telephone_number": "208-403-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SOUNDVIEW DR STE A102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352057",
            "telephone_number": "208-403-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUVER",
        "first_name": "DEXTER",
        "credential": "L.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN 60404431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.