NPIMap

Organization Active NPI

Just Smiles Dental Care, McGruder P.C.

Doing business as Just Smiles Dental

  • Dental Clinic/Center
  • Reno, NV
National Provider Identifier
1639306517
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5870 Issued in NV
Legal business name
JUST SMILES DENTAL CARE, MCGRUDER P.C.
Doing business as
Just Smiles Dental
Practice address
2900 Clear Acre LN
Suite S
Reno, NV 89512-1712
Phone
(775) 337-6453
Fax
(775) 337-2854
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Keith D McGruder, DDSNPI 1801983887
Title
General Dentist
Phone
(775) 671-8659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5870 NV Primary

Addresses

Primary practice location

2900 Clear Acre LN
Suite S
Reno, NV 89512-1712

Mailing address

2900 Clear Acre LN
Suite S
Reno, NV 89512-1712
Phone (775) 337-6453

Other names 1

  • Just Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2900 Clear Acre Ln
Ste S
Reno, NV 89512
Phone (775) 337-6453

Practitioners & affiliated clinicians

Practitioners 2

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": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1639306517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CLEAR ACRE LN",
            "address_2": "SUITE S",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121712",
            "telephone_number": "775-337-6453",
            "fax_number": "775-337-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CLEAR ACRE LN",
            "address_2": "SUITE S",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121712",
            "telephone_number": "775-337-6453",
            "fax_number": "775-337-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST SMILES DENTAL CARE, MCGRUDER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "MCGRUDER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "775-671-8659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "5870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.