Anna Caroline Grubbs, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00205238 Issued in CO

Practice address

306 Center Dr
Superior, CO 80027-8625

Phone

(130) 349-9955

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Meyerland Modern Dentistry, PC

  dba Meyerland Modern Dentistry

  • Dentist
  • Houston, TX
  • NPI 1326686031
  NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1295344836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SPRUCE ST APT 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024333",
            "telephone_number": "318-267-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CENTER DR",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278625",
            "telephone_number": "130-349-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770961605",
            "country_code": "US",
            "telephone_number": "281-503-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "ANNA",
        "middle_name": "CAROLINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36320",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "EPIC SOFTWARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "306 Center Dr",
            "city": "Superior",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800278625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary D Dixon DDS PLLC (Dixon Orthodontics)
• Lin Geng
• Jaela Glennon-Levin, LPCC
• Joelyn Goddard
• Elizabeth Wilson Graybill, LCSW
• Bernard Paul Guth, P.T.
• Kathryn Ann Hartley, APRN
• Amy Miles Hartman
• Haven Educational Services
• Shannon M Herrick

• Dentist in Superior, CO
• Providers in Superior, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.