Adam Grubler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4048 Issued in WV

Practice address

1160 Johnson Ave
104
Bridgeport, WV 26330-1487

Phone

(304) 842-2361

NPI assigned

Jun 4, 2013

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Dec 7, 2015 through Dec 7, 2027

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 and National Provider Directory roles.

• Adam M. Grubler DDS, PLLC

  • Dentist
  • Bridgeport, WV
  • NPI 1225672843
  NPD (past) Authorized official
• Caroline G Labritz DDS Inc

  • General Practice Dentistry
  • Fairmont, WV
  • NPI 1023447745
  NPD (past)
• P Ronald Graziani DDS LTD

  • Dentist
  • Fairmont, WV
  • NPI 1114002375
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1609213313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STONE GATE CIR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051803",
            "telephone_number": "304-639-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 JOHNSON AVE",
            "address_2": "104",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301487",
            "telephone_number": "304-842-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBLER",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Denise Griffin
• James Griffith, DDS
• Gary Lee Grooms II, MPT
• Gregory A Groves, O.D.
• Melanie Ealene Groves
• Amber Guinup
• Cara Gump
• Jasmeen Kaur Guron
• Alexandra Nicole Guzzi
• Jordan Gwinn

• Dentist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.