NPIMap

Organization Active NPI

Whittemore-Gruen PLLC

  • Dentist
  • Germantown, TN
National Provider Identifier
1871755033
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WHITTEMORE-GRUEN PLLC
Practice address
2165 West St
Germantown, TN 38138-3856
Phone
(901) 754-0540
Fax
(901) 754-0621
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. John Whittemore, DDSNPI 1376732503
Title
Owner
Phone
(901) 754-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2165 West St
Germantown, TN 38138-3856

Mailing address

2165 West St
Germantown, TN 38138-3856
Phone (901) 754-0540

Other names 1

  • Germantown Dental Group Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Germantown Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1871755033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383856",
            "telephone_number": "901-754-0540",
            "fax_number": "901-754-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383856",
            "telephone_number": "901-754-0540",
            "fax_number": "901-754-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTEMORE-GRUEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WHITTEMORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-754-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Germantown Dental Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.