Keith Grote, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46597 Issued in CA

Legal business name

KEITH GROTE, DMD

Practice address

635 Anderson Rd Ste 16
Davis, CA 95616-3505

Phone

(530) 756-8800

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Keith GroteNPI 1336257344

Title

Owner

Phone

(530) 756-8800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Grote, DMD

  • Dentist
  • Davis, CA
  • NPI 1336257344
  NPD (past) Authorized official
• Cynthia Louise Dominessy, D.D.S.

  • Prosthodontics
  • Woodland, CA
  • NPI 1497986970
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1972011153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD STE 16",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD STE 16",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505",
            "telephone_number": "530-756-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH GROTE, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "GROTE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-756-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Katzenmeyer
• Kaur and Barnes General Practice Partnership
• Jasleen Kaur, FNP
• Jasleen Kaur, MA, LMFT
• Navreet Kaur
• Lisa Kay Keller, MD
• Rosa Kelly
• Susan S Kelly, PT
• Samara Kemp, CNM
• Daniel J Kennedy, MD

• General Practice Dentistry in Davis, CA
• Providers in Davis, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.