Nicholas Grondel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14223878-9926 Issued in UT

Practice address

3454 S 4800 W
West Valley City, UT 84120-1705

Phone

(801) 969-3025

NPI assigned

Jun 10, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Demille Mackay Dental

  • General Practice Dentistry
  • West Valley City, UT
  • NPI 1609739242
  NPD

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1942195045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W GERMANIA AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 S 4800 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841201705",
            "telephone_number": "801-969-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDEL",
        "first_name": "NICHOLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "14223878-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Adair Green, MFTI
• Annalisa Gregory, CSW
• Taylor Gregrich, CSW
• Katherine G Griffin, A.P.R.N.
• Shannon Brooke Grizzle, CSW
• Taylor Lynn Grover
• James Russell Grua, M.D.
• David Guadarrama, LCSW
• Guardian Pharmacy of Utah LLC
• Adam Dean Gubler, DPT

• General Practice Dentistry in West Valley City, UT
• Providers in West Valley City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.