Robert Lewis Groesbeck, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7518 Issued in AZ

Practice address

13869 W Bell Rd
Ste 103
Surprise, AZ 85374-2468

Phone

(623) 584-4015

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Festival Dental Group, LLP

  dba Festival Dental Group

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1497883128
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1851453997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13869 W BELL RD",
            "address_2": "STE 103",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742468",
            "telephone_number": "623-584-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13869 W BELL RD",
            "address_2": "STE 103",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742468",
            "telephone_number": "623-584-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROESBECK",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "44405",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "7518",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "26206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Griffee, PHARMD
• Sonnette Ann Griffin, COTA/L
• Mackenzie Griffith
• Gabriela Lynn Grijalva, RBT
• Claudia Grochalska
• Rachel Evelyn Groff, OD
• Gavin Grosh
• Mary Ann Gross
• Roger N Grossbard, O.D.
• Rhea M Grover, EFDA, PTDA

• Orthodontics and Dentofacial Orthopedics Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.