Active NPI
Neeraj Grover, D.M.D
- Pediatric Dentistry
- Oldsmar, FL
National Provider Identifier
1275674269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN130-80
- Practice address
- 3906 Tampa Rd
Suite C
Oldsmar, FL 34677-3100 - Phone
- (813) 814-2933
- NPI assigned
- Feb 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN130-80 | FL | Primary |
Addresses
Primary practice location
3906 Tampa Rd
Suite C
Oldsmar, FL 34677-3100
Mailing address
4946 Quill CT
Palm Harbor, FL 34685-3699
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN130-80 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275674269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4946 QUILL CT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346853699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3906 TAMPA RD",
"address_2": "SUITE C",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346773100",
"telephone_number": "813-814-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "NEERAJ",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN130-80",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.