Edward H. Gruber D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

33020 Issued in CA

Legal business name

EDWARD H. GRUBER D.D.S.

Practice address

826 Jefferson St
Delano, CA 93215-2235

Phone

(661) 725-1797

Fax

(661) 725-1864

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Martha C. Diaz

Title

Office Manager

Phone

(661) 827-9183

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hacienda Dental5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Depot

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1205169729
  NPD tax ID
• Edward H. Gruber D.D.S.

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1831399351
  NPD tax ID
• Edward H. Gruber, DDS

  dba Smile Studios

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1104065416
  NPD tax ID
• Hacienda Dental

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1275772634
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Edward H. Gruber D.D.S.

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1831399351
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Juanatas Bowens, DDS

  • Dentist
  • Delano, CA
  • NPI 1154724649
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1316137102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 JEFFERSON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152235",
            "telephone_number": "661-725-1797",
            "fax_number": "661-725-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 JEFFERSON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152235",
            "telephone_number": "661-725-1797",
            "fax_number": "661-725-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H. GRUBER D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-827-9183",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9139302",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princess Marilyn Lagos Donato, PTA
• Dr D S Park Dental Inc (Smile Dental of Delano)
• Veronica Duran-Perez, FNP
• Jennifer Duran
• Dva Healthcare Renal Care Inc (Delano Dialysis)
• Edwin P. Ramirez, DDS, Inc.
• Edwin P. Ramirez, DDS, Inc.
• Edwin P. Ramirez, DDS, Inc.
• Shahram Ehteshami, M.D.
• Morgan L. Elias, PH.D.

• Dental Clinic/Center in Delano, CA
• Providers in Delano, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.