Active NPI
Reena N Grover, D.D.S.
- Pediatric Dentistry
- Dublin, CA
National Provider Identifier
1699008789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 58620
- Practice address
- 4101 Dublin Blvd Ste E
Dublin, CA 94568 - Phone
- (688) 092-5803
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 58620 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 58620 | CA |
Addresses
Primary practice location
4101 Dublin Blvd Ste E
Dublin, CA 94568
Mailing address
371 Verano Dr
Los Altos, CA 94022-2345
Phone (510) 378-3782
Other practice location 1
1223 Doyle Cir
Santa Clara, CA 95054-4121
Phone (510) 378-3782
Other practice location 2
853 Middlefield Rd
Palo Alto, CA 94301-2920
Phone (650) 322-9837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58620 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1699008789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 VERANO DR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222345",
"telephone_number": "510-378-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 DUBLIN BLVD STE E",
"city": "DUBLIN",
"state": "CA",
"postal_code": "94568",
"telephone_number": "688-092-5803"
}
],
"practiceLocations": [
{
"address_1": "1223 Doyle Cir",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950544121",
"country_code": "US",
"telephone_number": "510-378-3782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "853 Middlefield Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943012920",
"country_code": "US",
"telephone_number": "650-322-9837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVER",
"first_name": "REENA",
"middle_name": "N",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "58620",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58620",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.