Active NPI
Beth Ann Gruver, RDH BS
- Dental Hygienist
- Rockville, MD
National Provider Identifier
1316633035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4045
- Practice address
- 20 Courthouse SQ Ste 105
Rockville, MD 20850-2337 - Phone
- (301) 424-8888
- NPI assigned
- Apr 14, 2023
- Last updated
- Apr 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4045 | MD | Primary |
Addresses
Primary practice location
20 Courthouse SQ Ste 105
Rockville, MD 20850-2337
Mailing address
234 Kenwood Ave
Catonsville, MD 21228-3612
Phone (410) 375-3686
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4045 | MD | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter Tong DDS PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1316633035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 KENWOOD AVE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212283612",
"telephone_number": "410-375-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 COURTHOUSE SQ STE 105",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502337",
"telephone_number": "301-424-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUVER",
"first_name": "BETH",
"middle_name": "ANN",
"credential": "RDH BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "4045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.