NPIMap

Organization Active NPI

Edward H. Gruber D.D.S.

  • Dental Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1831399351
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
33020 Issued in CA
Legal business name
EDWARD H. GRUBER D.D.S.
Practice address
1491 White LN
Bakersfield, CA 93307-4677
Phone
(661) 827-9183
Fax
(661) 827-9185
NPI assigned
Jul 23, 2007
Organization subpart
Yes
Parent organization
EDWARD H. GRUBER D.D.SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Ms. Martha C. Diaz
Title
Office Manager
Phone
(661) 827-9183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 33020 CA Primary

Addresses

Primary practice location

1491 White LN
Bakersfield, CA 93307-4677

Mailing address

1491 White LN
Bakersfield, CA 93307-4677
Phone (661) 827-9183

Other identifiers 1

IdentifierTypeStateIssuer
G9139301MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Hacienda Dental5 organizations share this tax ID, including this one
Part of
Hacienda Dental

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1831399351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074677",
            "telephone_number": "661-827-9183",
            "fax_number": "661-827-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933074677",
            "telephone_number": "661-827-9183",
            "fax_number": "661-827-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H. GRUBER D.D.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDWARD H. GRUBER D.D.S",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-827-9183",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9139301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.