Nicholas Lamar Groneman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5255056-9922 Issued in UT

Practice address

186 S 1100 E
American Fork, UT 84003-2817

Phone

(801) 756-5136

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• B&G Management Services LLC

  • Preferred Provider Organization
  • American Fork, UT
  • NPI 1184170508
  NPD (past)
• Alhambra Dental Partners LLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1497510713

  General Practice

  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1295925675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-756-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-756-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEMAN",
        "first_name": "NICHOLAS",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5255056-9922",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "5255056-8903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Dale Greenwood, DDS
• Dale Max Greenwood, D.D.S.
• Brian Grier, MPAS
• Emily Griffin
• Natasha Anne Griffiths
• Bryn Gruber
• Justin Guernsey
• Gunn Chiropractic PLLC
• Benjamin Russell Gunn, D.C.
• Gunnison Valley Hospital

• All providers in American Fork, UT
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.