Eric Grove, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58930 Issued in CA

Practice address

57019 Yucca TRL
Yucca Valley, CA 92284-7909

Phone

(760) 365-0774

NPI assigned

Mar 15, 2010

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 and National Provider Directory roles.

• Ronald E. Green DDS, a Dental Corp

  • General Practice Dentistry
  • Yucca Valley, CA
  • NPI 1487866125

  General Practice

  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1629392014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72724 29 PALMS HWY",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772459",
            "telephone_number": "760-367-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57019 YUCCA TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847909",
            "telephone_number": "760-365-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latanya J Green
• Charles Robert Greenwood, D.C.
• John Grigg, RPH
• Rachel Leah Gross, LMFT
• Valarie Grossman, MASSAGE THERAPIST
• Melissa Marie Guerra
• Jacqueline R Guevara
• Josie A Guillen
• Gutenberg Dental Corporation
• Trinidad Gutierrez

• All providers in Yucca Valley, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.