Dr. Jenny Grunberg DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. JENNY GRUNBERG DMD

Practice address

54055 County Road 653
Paw Paw, MI 49079-9486

Phone

(269) 657-3900

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel L Hall

Title

Office Manager

Phone

(269) 657-3900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Magdalena J. Misiuk, D.D.S.

  • General Practice Dentistry
  • Portage, MI
  • NPI 1871782722
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1861134611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54055 COUNTY ROAD 653",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799486",
            "telephone_number": "269-657-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54055 COUNTY ROAD 653",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799486",
            "telephone_number": "269-657-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JENNY GRUNBERG DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-657-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Lin Deyoung
• Janet Louise Dodge, LMSW
• Domestic Violence Coalition, Inc.
• Kathleen Dorr
• Nicole Alayna Douglass, MA, LPC
• Kinju Dudhia, PT
• Kimberly Duell, RN
• Pearce James Dupuis
• Kathleen L. Easterling, BSW
• Hugh Edwards

• General Practice Dentistry in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.