Individual provider Active NPI

Jeffrey Blake Grout, DDS

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1336149368
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7474 Issued in CO
Practice address
8 W Dry Creek Cir
#101
Littleton, CO 80120-4477
Phone
(303) 730-1222
Fax
(303) 730-2096
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43603 CA
General Practice Dentistry 1223G0001X 7474 CO Primary

Addresses

Primary practice location

8 W Dry Creek Cir
#101
Littleton, CO 80120-4477

Mailing address

8 W Dry Creek Cir
#101
Littleton, CO 80120-4477
Phone (303) 730-1222

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

LicenseStateTypeSpecialty
43603CAMDGeneral Practice Dentistry
7474COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey B. Grout, DDS, P.C. General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1336149368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W DRY CREEK CIR",
            "address_2": "#101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204477",
            "telephone_number": "303-730-1222",
            "fax_number": "303-730-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W DRY CREEK CIR",
            "address_2": "#101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204477",
            "telephone_number": "303-730-1222",
            "fax_number": "303-730-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUT",
        "first_name": "JEFFREY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43603",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.