Groovy Molar, P.L.L.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21128 Issued in TX

Legal business name

GROOVY MOLAR, P.L.L.C.

Practice address

3410 Far West Blvd
Suite 310
Austin, TX 78731-3194

Phone

(512) 810-1378

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brad C Singleton, DDS

Title

Owner

Phone

(512) 810-1378

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Groovy Molar Pediatric Dental Care Doing business as

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1891014239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-810-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-810-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOVY MOLAR, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-810-1378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174254602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170979201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groovy Molar Pediatric Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Curissa Joy Groll, RDN
• Austin Gronewold, MD
• Taylor Grace Crist Gronewold, MD
• Hannah Elise Groos
• Groovy Dental PLLC
• Groovy Sleep PLLC
• Albert Thad Gros, MD
• Kelly Grosch, DC
• Paul Grosch, LPC
• Kay-T Grose, RN

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.