NPIMap

Organization Active NPI

Heath a. Grote, DMD, PC

  • Endodontics
  • Champiagn, IL
National Provider Identifier
1588809545
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
HEATH A. GROTE, DMD, PC
Practice address
2916 Crossing Court
Suite C
Champiagn, IL 61822
Phone
(217) 352-5809
Fax
(217) 352-5812
NPI assigned
Dec 4, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Heath Allen Grote, D.M.D.NPI 1235184482
Title
Owner/President
Phone
(217) 352-5809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary
Endodontics 1223E0200X 019024132 IL
Endodontics 1223E0200X 019025871 IL

Addresses

Primary practice location

2916 Crossing Court
Suite C
Champiagn, IL 61822

Mailing address

2916 Crossing Court
Suite C
Champaign, IL 61822
Phone (217) 352-5809

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1588809545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CROSSING COURT",
            "address_2": "SUITE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-352-5809",
            "fax_number": "217-352-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 CROSSING COURT",
            "address_2": "SUITE C",
            "city": "CHAMPIAGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-352-5809",
            "fax_number": "217-352-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATH A. GROTE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "GROTE",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "217-352-5809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "019024132",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "019025871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.