Organization Active NPI

Patrick R. Grube DDS PC

Doing business as a division of Atlantic Dental Care

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1851854236
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PATRICK R. GRUBE DDS PC
Doing business as
a division of Atlantic Dental Care
Practice address
1245 Cedar Rd Ste L
Chesapeake, VA 23322-7141
Phone
(757) 382-9336
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Dr. Patrick Grube, DDS
Title
Dentist
Phone
(757) 642-0549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

1245 Cedar Rd Ste L
Chesapeake, VA 23322-7141

Mailing address

211 66TH St
Virginia Beach, VA 23451-2040
Phone (757) 642-0549

Other names 1

  • a division of Atlantic Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Hendricks Family Dentistry PC

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": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1851854236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 66TH ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512040",
            "telephone_number": "757-642-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CEDAR RD STE L",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227141",
            "telephone_number": "757-382-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK R. GRUBE DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "GRUBE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-642-0549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.