Active NPI
James Robert Gronemyer, DDS
- Dentist
- Myrtle Point, OR
National Provider Identifier
1962518241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5538
- Practice address
- 913 A St
Myrtle Point, OR 97458-1334 - Phone
- (541) 572-5511
- Fax
- (541) 572-3733
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5538 | OR | Primary |
Addresses
Primary practice location
913 A St
Myrtle Point, OR 97458-1334
Mailing address
913 A St
Myrtle Point, OR 97458-1334
Phone (541) 572-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217398 | Other | OR | OREGON HEALTH PLAN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5538 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962518241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 A ST",
"city": "MYRTLE POINT",
"state": "OR",
"postal_code": "974581334",
"telephone_number": "541-572-5511",
"fax_number": "541-572-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 A ST",
"city": "MYRTLE POINT",
"state": "OR",
"postal_code": "974581334",
"telephone_number": "541-572-5511",
"fax_number": "541-572-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONEMYER",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "5538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH PLAN",
"identifier": "217398",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.