Bret Landon Groneman, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

D00847 Issued in AZ

Practice address

10621 N 35TH Ave
Phoenix, AZ 85029-4260

Phone

(602) 978-9050

NPI assigned

Jun 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Metro Dental Partners LLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1477819555
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1891058137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10621 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294260",
            "telephone_number": "602-978-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294260",
            "telephone_number": "602-978-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEMAN",
        "first_name": "BRET",
        "middle_name": "LANDON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D00847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahala Grohman, LPN
• Grom Hospice Inc
• William Charles Gronberg, PA-C
• Sherri Grondon, PA
• Jasmine Gronek, PHARMD
• Meg Louise Groom, M.D.
• Tessa R Grooms, LMSW
• Yoshi Grooms, APRN, FNP-C
• Ashley Marie Saggio Groose, FNP-BC APNP
• Brooke Renae Grooters, NP

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.