Stephanie Guy Gruchalla, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1957 Issued in ND

Practice address

1231 27TH St S
Fargo, ND 58103-8722

Phone

(701) 235-1261

Fax

(701) 235-1268

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Stephanie Guy Gruchalla, DDS, PC

  • Dental Clinic/Center
  • Fargo, ND
  • NPI 1669270013
  NPD Authorized official
• McDonald & Gruchalla, D.D.S., P.C.

  • General Practice Dentistry
  • Fargo, ND
  • NPI 1053453688
  NPD (past) Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1245249135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 27TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038722",
            "telephone_number": "701-235-1261",
            "fax_number": "701-235-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 27TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038722",
            "telephone_number": "701-235-1261",
            "fax_number": "701-235-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUCHALLA",
        "first_name": "STEPHANIE",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41376",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pam Grothman, RN
• Jill Marie Grotluschen, L.S.W
• Chelsea Lynn Grove, LSW
• Katrina Grove, LMSW
• Growth Mindset Counseling
• Steven R Grudem, PHARM.D.
• Justin Grueneich
• Chantee Seung Gruenhagen, NP
• Jace Grugel
• Morgan Leigh Grundstad, MD

• General Practice Dentistry in Fargo, ND
• Providers in Fargo, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.