Jay Gronemyer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D8847 Issued in OR

Practice address

1553 NW Canal Blvd Ste 101
Redmond, OR 97756-1341

Phone

(541) 923-2880

Fax

(541) 923-2881

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1811011976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 NW CANAL BLVD STE 101",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561341",
            "telephone_number": "541-923-2880",
            "fax_number": "541-923-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 NW CANAL BLVD STE 101",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561341",
            "telephone_number": "541-923-2880",
            "fax_number": "541-923-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEMYER",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Christine Gregory, FNP
• Barry William Gridley, D. MIN.
• Alan Griffin, DO
• Shawn Grimes, MSPT
• Sierra Short Groenewold, LPC
• Jennifer Rhea Grove
• Kristina Grubb
• Elizabeth Jean Gualandi, DO
• Jasmine Kay Guindon
• Susan F Guinee, SLP

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

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