Todd Gruen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7426 Issued in TN

Practice address

2165 West St
Germantown, TN 38138-3856

Phone

(901) 754-0540

Fax

(901) 754-0621

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 9, 2016 through May 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Germantown Dental Group

  • Dental Clinic/Center
  • Germantown, TN
  • NPI 1003927310
  NPD (past)
• Whittemore-Gruen PLLC

  • Dentist
  • Germantown, TN
  • NPI 1871755033
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1235328469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383856",
            "telephone_number": "901-754-0540",
            "fax_number": "901-754-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383856",
            "telephone_number": "901-754-0540",
            "fax_number": "901-754-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEN",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "7426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry T Grizzard, MD
• Mitchell Joseph Groome
• Suzanne M Grooms, FNP
• Kenneth Dean Groshart, MD
• Axel Grothey, M.D.
• Shannon M Gulla, M.D.
• Grover Earl Gunn IV, OTR/L
• Vijay Kumar Guntupalli, MD., PH.D.
• Himani Gupta, M.D.
• Prateek Kumar Gupta, MBBS

• Dentist in Germantown, TN
• Providers in Germantown, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.