Active NPI
Julia Kaitlyn Gruver, DDS, MSD
- Pediatric Dentistry
- Milford, OH
National Provider Identifier
1508545351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30.028440
- Practice address
- 1106C Main St
Milford, OH 45150-1706 - Phone
- (513) 831-3434
- NPI assigned
- Jul 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12014443A | IN | |
| Pediatric Dentistry | 1223P0221X | 30.028440 | OH | Primary |
Addresses
Primary practice location
1106C Main St
Milford, OH 45150-1706
Mailing address
1106 Main St
Milford, OH 45150-1706
Other practice location 1
6558 Glenway Ave
Cincinnati, OH 45211-4410
Phone (513) 998-7025
Other practice location 2
9717 Dry Fork Road
Suite B
Harrison, OH 45030
Phone (513) 367-4048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240614001362 | IN | Order and Referring Only - Dentist | 9032652326 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Lisa Rudolph DMD MPH and Petr Vaughan DDS, LLC | Pediatric Dentistry | 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.
-
- Pediatric Dentistry
- Milford, OH
- NPI 1407603558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1508545351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106C MAIN ST",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501706",
"telephone_number": "513-831-3434"
}
],
"practiceLocations": [
{
"address_1": "6558 Glenway Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452114410",
"country_code": "US",
"telephone_number": "513-998-7025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9717 Dry Fork Road",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "OH",
"postal_code": "45030",
"country_code": "US",
"telephone_number": "513-367-4048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUVER",
"first_name": "JULIA",
"middle_name": "KAITLYN",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12014443A",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30.028440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.