Active NPI
Frank Edward Gruber, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Olney, IL
National Provider Identifier
1548489958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Practice address
- 1108 N East St
Olney, IL 62450 - Phone
- (618) 395-8666
- Fax
- (618) 395-7900
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | IL | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | IL | Primary |
Addresses
Primary practice location
1108 N East St
Olney, IL 62450
Mailing address
1108 N East St
Olney, IL 62450
Phone (618) 395-8666
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 |
|---|---|---|---|
| 019014056 | IL | MD | Dentist |
| 021000859 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1548489958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 N EAST ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "62450",
"telephone_number": "618-395-8666",
"fax_number": "618-395-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 N EAST ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "62450",
"telephone_number": "618-395-8666",
"fax_number": "618-395-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "FRANK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.