Robert D. Grew DMD, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROBERT D. GREW DMD, INC.

Practice address

10163 SE Sunnyside Road
Suite 414
Clackamas, OR 97015

Phone

(503) 653-4079

Fax

(503) 653-9902

NPI assigned

Apr 25, 2014

Organization subpart

No

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

Authorized official

Name

Robert D. Grew, DMDNPI 1427028281

Title

Owner

Phone

(503) 653-4079

Specialties & licenses 1

Addresses

Other names 1

• Robert D. Grew DMD Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Donald Grew, D.M.D.

  • General Practice Dentistry
  • Clackamas, OR
  • NPI 1427028281
  NPD (past) Authorized official
• Daniel Miller, DMD

  • Dentist
  • Clackamas, OR
  • NPI 1194003343
  NPD (past)

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1801216130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10163 SE SUNNYSIDE ROAD",
            "address_2": "SUITE 414",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-653-4079",
            "fax_number": "503-653-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10163 SE SUNNYSIDE ROAD",
            "address_2": "SUITE 414",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-653-4079",
            "fax_number": "503-653-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. GREW DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "GREW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-653-4079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert D. Grew DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Deborah Lynn Rink, LCSW
• Kelly A Riordan, CNM
• Pamela S Ritchie, M.S.
• River City Eyecare, LLC
• Alexander Adonis Lee Robbinson, NREMT, PSS
• Jenessa Denise Roberti, DACM
• Karen Lynn Roberti, LMT
• Robert Lee Roberts, D.O.
• Erica Robertson, PT, DPT
• Erin Robertson

• Dentist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.