Jacob Gubrud, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11533 Issued in OR

Practice address

1775 River Rd
Eugene, OR 97404-2642

Phone

(541) 689-1287

NPI assigned

Aug 30, 2021

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaros & Gubrud Dental LLC

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1912855404
  NPD (past)
• Robert Gemmell D.M.D., P.C

  dba DistinctiveDentistry

  • Dentist
  • Eugene, OR
  • NPI 1801295324
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1568130219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042642",
            "telephone_number": "541-689-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042642",
            "telephone_number": "541-689-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBRUD",
        "first_name": "JACOB",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffi Makanalani Grumbley, PTA
• Emma Grunska
• Grace Grymonpre-Dwyer, LPC
• Guardian Pharmacy of Oregon, LLC (Managed Healthcare Pharmacy)
• Thomas Matthew Guastavino, PTA
• Randy Jay Gudeika
• Girin Kenneth Guha, MS
• Joanna Mari Concha Guhit, M.S., CCC-SLP
• Guidant Toxicology LLC
• Guided Ability, LLC

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.