Active NPI
David C Gruber, DDS, MS
- Endodontics
- Grand Rapids, MI
National Provider Identifier
1912913153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2901014839
- Practice address
- 3320 Alpine Ave NW
Grand Rapids, MI 49544-1677 - Phone
- (616) 649-2425
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2901014839 | MI | Primary |
Addresses
Primary practice location
3320 Alpine Ave NW
Grand Rapids, MI 49544-1677
Mailing address
3320 Alpine Ave NW
Grand Rapids, MI 49544-1677
Phone (616) 649-2425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David C. Gruber, DDS, Ms, PC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Walker, MI
- NPI 1134469869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1912913153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 ALPINE AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495441677",
"telephone_number": "616-649-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 ALPINE AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495441677",
"telephone_number": "616-649-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "DAVID",
"middle_name": "C",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "2901014839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.