Karl H. Gruendl, DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

12400 Issued in MO

Legal business name

KARL H. GRUENDL, DMD, PC

Practice address

11 Green Valley Dr
Fenton, MO 63026-5045

Phone

(636) 343-7022

Fax

(636) 343-5834

NPI assigned

Jun 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karl Heinz Gruendl, D.M.D.

Title

President

Phone

(636) 343-7022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891991196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GREEN VALLEY DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265045",
            "telephone_number": "636-343-7022",
            "fax_number": "636-343-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GREEN VALLEY DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265045",
            "telephone_number": "636-343-7022",
            "fax_number": "636-343-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL H. GRUENDL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUENDL",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "HEINZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-343-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "12400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "12400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osmond G Jones, DDS, PC
• Sally J Jones, ATC
• Jeswin M Joyson
• Anna Maria Jurec Irving, M.D.
• Andrew L Karanas, MD
• Keller Group, Inc.
• Lisa Kelley
• Andrew Kemlage
• Thomas F. Kemlage, DDS
• Michelle Lynn Kendrick, PT

• Dentist in Fenton, MO
• Providers in Fenton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.