Ross W. Groelz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22606 Issued in CA

Practice address

2074 Lake Tahoe Blvd
Suite #4
South Lake Tahoe, CA 96150-6407

Phone

(530) 541-4640

Fax

(530) 541-3853

NPI assigned

Feb 17, 2006

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

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568437200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD.",
            "address_2": "SUITE #4",
            "city": "SO. LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-541-4640",
            "fax_number": "530-541-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD",
            "address_2": "SUITE #4",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506407",
            "telephone_number": "530-541-4640",
            "fax_number": "530-541-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROELZ",
        "first_name": "ROSS",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Wayne Gray, M.D.
• Richard Anthony Greco, PES
• William Macgregor Green, MD
• Nicole Greene
• Kevin Jason Gregerson, RPH
• Julia Guier
• Sydney Guimond
• Amanda Gutierrez
• Hyun Myung Ha, D.D.S.
• Michael E. R. Habicht, MD

• General Practice Dentistry in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.