Angela Gruber

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038860 Issued in PA

Practice address

4781 Parkview Dr S
Emmaus, PA 18049-1282

Phone

(610) 704-8482

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1245511427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 PARKVIEW DR S",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491282",
            "telephone_number": "610-704-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 PARKVIEW DR S",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491282",
            "telephone_number": "610-704-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert A Grant, LICENSE COUNSELOR
• Brooke Rae Green, DC
• Mijah Hadiya Greenidge, LAPC
• Jeffrey M Grove, OD
• Phillip C. Grubb, D.D.S.
• Steven Winton Gunn, MA
• My Dung Thi Ha, DO
• Lauren J Hall
• Joan Halucha, CAC
• Katherine Hannon, COTA/L

• General Practice Dentistry in Emmaus, PA
• Providers in Emmaus, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.