Individual provider Active NPI

Julia Kaitlyn Gruver, DDS, MSD

  • Pediatric Dentistry
  • Milford, OH
National Provider Identifier
1508545351
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.028440 Issued in OH
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

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614001362 IN Order and Referring Only - DentistPractitioner - Dentist 9032652326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Lisa Rudolph DMD MPH and Petr Vaughan DDS, LLC Pediatric Dentistry PastSince May 12, 2024 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": "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

Verify at the official NPI Registry.