Keith McGruder, D.D.S., M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5870 Issued in NV

Practice address

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

Phone

(928) 600-8629

Fax

(775) 337-2854

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kmcgruder@plthc.directbygreenway.com

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.

• Nice Smiles Reno, PLLC

  • Public Health Dentistry
  • Reno, NV
  • NPI 1821883224
  NPD Authorized official
• Just Smiles Dental Care, McGruder P.C.

  • Dental Clinic/Center
  • Reno, NV
  • NPI 1639306517
  NPD (past) Authorized official

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1801983887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 LONGFELLOW LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894104821",
            "telephone_number": "928-600-8629"
        },
        {
            "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": "928-600-8629",
            "fax_number": "775-337-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRUDER",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5870",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa McGovern
• Rich McGrail
• Sydnee Leigh McGrath
• Natalie Catherine McGraw
• Megan McGrew, PHD, BCBA, LBA
• John Paul G McGuire, M.A., M.S., CCC-SLP
• Kacey McGuire, BS
• Savannah E McGuire, NP
• Trish Lee McGuire, OTR/L
• Michelle McHardy

• General Practice Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.