Active NPI
Arthur T Grutt, D.M.D
- Dentist
- Clark, NJ
National Provider Identifier
1366692477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11751
- Practice address
- 15 Brant Ave
Clark, NJ 07066 - Phone
- (732) 815-1776
- Fax
- (732) 382-8920
- NPI assigned
- Sep 25, 2008
- Last updated
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 11751 | NJ | Primary |
Addresses
Primary practice location
15 Brant Ave
Clark, NJ 07066
Mailing address
15 Brant Ave
Clark, NJ 07066
Phone (732) 815-1776
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11751 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur T.Grutt D.M.D | Dentist | 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.
-
- Dentist
- Clark, NJ
- NPI 1033380167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1366692477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BRANT AVE",
"city": "CLARK",
"state": "NJ",
"postal_code": "07066",
"telephone_number": "732-815-1776",
"fax_number": "732-382-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BRANT AVE",
"city": "CLARK",
"state": "NJ",
"postal_code": "07066",
"telephone_number": "732-815-1776",
"fax_number": "732-382-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUTT",
"first_name": "ARTHUR",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "11751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clark, NJ
- James William Gordon Jr.
- Grace Space Counseling LLC
- Great Atlantic & Pacific Tea Company Inc (A & P Pharmacy)
- Great Joy Community Development Corporation
- Great Joy Counseling and Consulting Services LLC
- Shravani Guliani, PT, DPT
- Thomas Joseph Gulino, DMD
- Lyndon Stafford Gunning, B.A. CADC
- Amit Gupta, R.PH
- Gut First Nutrition Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.