Jeremy Marshall Grove, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901018824 Issued in MI

Practice address

501 S. Bridge St.
Linden, MI 48451

Phone

(810) 735-7511

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Jeremy M Grove DDS PLLC

  • Dentist
  • Linden, MI
  • NPI 1073257747
  NPD (past) Authorized official
• Jeremy M Grove DDS PLLC

  • Dentist
  • Linden, MI
  • NPI 1437887049
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1457411548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 127",
            "address_2": "501 S. BRIDGE ST.",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "48451",
            "telephone_number": "810-735-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S. BRIDGE ST.",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "48451",
            "telephone_number": "810-735-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "JEREMY",
        "middle_name": "MARSHALL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna M Frick, PT
• Matthew Norman Fulton, D.D.S.
• Danielle Breann Germaine, LPC
• Go Mobile Physical Therapy & Wellness
• Great Lakes Wellness Services
• Dina Hakim
• Jennifer Marie Hammill, M.A. CCC-SLP
• Hannah Elliott, LMSW
• Harrison Complete Home Care
• Kimberly Henson

• Dentist in Linden, MI
• Providers in Linden, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.