Organization Active NPI

Stephanie Guy Gruchalla, DDS, PC

Doing business as Gruchalla Dentistry

  • Dental Clinic/Center
  • Fargo, ND
National Provider Identifier
1669270013
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEPHANIE GUY GRUCHALLA, DDS, PC
Doing business as
Gruchalla Dentistry
Practice address
1231 27TH St S Ste a
Fargo, ND 58103-8722
Phone
(701) 235-1261
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dr. Stephanie Guy Gruchalla, DDSNPI 1245249135
Title
Owner
Phone
(701) 235-1261

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 NU Primary

Addresses

Primary practice location

1231 27TH St S Ste a
Fargo, ND 58103-8722

Mailing address

1231 27TH St S Ste a
Fargo, ND 58103-8722
Phone (701) 235-1261

Other names 1

  • Gruchalla Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1231 27th St S
Ste A
Fargo, ND 58103
Phone (701) 235-1261

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": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1669270013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 27TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038722",
            "telephone_number": "701-235-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 27TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038722",
            "telephone_number": "701-235-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE GUY GRUCHALLA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "GRUCHALLA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-235-1261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gruchalla Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.