Joshua Gruber, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOSHUA GRUBER, DDS, LLC

Doing business as

Pear Valley Dental

Practice address

204 West Main Street
Rouge River, OR 97537

Phone

(541) 779-5111

NPI assigned

Dec 20, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Nelson Gruber, DDSNPI 1891120606

Title

Owner

Phone

(541) 779-5111

Specialties & licenses 1

Addresses

Other names 1

• Pear Valley Dental Doing business as

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.

• Joshua Nelson Gruber, DDS

  • General Practice Dentistry
  • Rogue River, OR
  • NPI 1891120606
  NPD (past) Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1609645548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WEST MAIN STREET",
            "city": "ROUGE RIVER",
            "state": "OR",
            "postal_code": "97537",
            "telephone_number": "541-779-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WEST MAIN STREET",
            "city": "ROUGE RIVER",
            "state": "OR",
            "postal_code": "97537",
            "telephone_number": "541-779-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA GRUBER, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-779-5111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pear Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.